PROVIDENCE HEALTH & SERVICES OREGON: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PROVIDENCE HEALTH & SERVICES OREGON (EIN 51-0216587)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201333199349310628
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T17:17:02-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 911194016 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Clark Nuber PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10900 NE 4th Suite 1700 | AddressLine1 |
| City | Bellevue | City |
| State | WA | State |
| ZIP Code | 98004 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510216587 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENCE HEALTH & SERVICES - OREGON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PROV | NameControl |
| Phone | 4255253985 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Todd Hofheins | Name |
| Title | EVP/CFO | Title |
| Phone | 4255253985 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sara Elizabeth J Hyre CPA | Name |
| PTIN | P00235495 | PTIN |
| Phone | 4254544919 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Rod Hochman MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Avenue SW No 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 3386473930 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www2.providence.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | Healthcare with special concern for the poor and vulnerable in Oregon. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 19803 | TotalNbrEmployees |
| Total Nbr Volunteers | 2743 | TotalNbrVolunteers |
| Total Gross UBI | 17344508 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 3132441 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 38675796 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 34966074 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2256603295 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2397230618 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 36241093 | InvestmentIncomePriorYear |
| Investment Income Current Year | 62898021 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 106676444 | OtherRevenuePriorYear |
| Other Revenue Current Year | 101574543 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2438196628 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2596669256 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 9635621 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 7004623 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1299171785 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1340357818 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 3033830 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 965698773 | OtherExpensePriorYear |
| Other Expenses Current Year | 1119817360 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2274506179 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2467179801 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 163690449 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 129489455 | RevenuesLessExpensesCY |
| Total Assets BOY | 2616453424 | TotalAssetsBOY |
| Total Assets EOY | 2593067944 | TotalAssetsEOY |
| Total Liabilities BOY | 632972466 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 629244906 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1983480958 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1963823038 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | As People of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.Healthcare with special concern for the poor and vulnerable in Oregon. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 879431357 | Expense |
| Grants | 0 | Grants |
| Revenue | 1054987787 | Revenue |
| Description | Acute Care-Inpatient: Admissions - 69,024Patient Days - 286,669OUR CORE VALUES - Respect, Compassion, Justice, Excellence, and Stewardship OUR COMMITMENT As a not-for-profit health care ministry, Providence Health & Services - Oregon embraces our responsibility to respond to the needs of people in our communities, especially the poor and vulnerable. This commitment, this Mission rooted in God's love for all, began with the Sisters of Providence more than 150 years ago.The Heart of our MissionWe focus our community benefit outreach on four specific populations. These are low-income and uninsured people, diverse populations, older citizens, and people with behavioral needs. Our outreach can range from covering the medical bills of a husband and father disabled by diabetes, to financially supporting a nonprofit that embraces older refugees and immigrants.During these hard economic times in our neighborhoods and our nation, we reinforce our commitments to caring for the poor and vulnerable. This compassionate caring is, and always has been, the heart of our Mission. Providence Health & Services - Oregon is a not-for-profit network of hospitals, care centers, health plans, physicians, home health services, clinics and other services. We continue a tradition of caring that the Sisters of Providence began in the West 150 years ago.Our facilities include: Providence St. Vincent Medical Center, Providence Portland Medical Center, Providence Milwaukie Hospital, Providence Hood River Memorial Hospital, Providence Newberg Medical Center, Providence Seaside Hospital,Providence Medford Medical Center, Providence Child Center, Providence Elderplace, Providence Benedictine Nursing Center, Providence Senior Village, Providence Seaside Extended Care, Providence Home and Community Services, Providence Health Plans, Providence Medical Group clinics, Providence Graduate Medical Education clinics, Providence North Coast clinics and Providence Hood River clinicsResearch CentersProvidence physicians, scientists and research teams participate in basic research, applied research and clinical trial research. They have achieved national recognition for their work, some of which has led to revolutionary changes in health care:*Albert Starr Academic Center for Cardiac Surgery*Center for Outcomes Research and Education*Earle A. Chiles Research Institute*Oregon Medical Laser Center*Robert W. Franz Cancer Research Center*Women and Children's Health Research CenterThe ministries of Providence in Oregon have a shared vision to create an experience of connected care for each patient. We also work to achieve the Triple Aim, which calls us to:*Improve our population's health*Give our patients the best care experience*Make sure our services are affordableIn 2012, Providence in Oregon:*Operated eight hospitals, more than 90 clinics and Oregon's largest neonatal intensive care unit*Provided primary, preventive and specialty care to nearly 1.3 million children and adults*Welcomed 10,787 babies - more than any other health system in Oregon*Cared for 279,538 emergency patients*Gave 445,655 home health and hospice visits/days of care to community residents | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 705296617 | Expense |
| Grants | 0 | Grants |
| Revenue | 846150692 | Revenue |
| Description | Acute Care - Outpatient: Visits - 3,115,827See Line 4a Narrative. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 198371038 | Expense |
| Grants | 0 | Grants |
| Revenue | 237989567 | Revenue |
| Description | Primary Care: Visits - 1,324,708See Line 4a Narrative. | Description |
Activity Other ActivityOther (3 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 219552340 | 0 | 263291729 | Long-Term Care, Homecare, Hospice, Housing & Assisted Living: LTC Patient Days - 61,267; Home & Hospice Visits - 445,655; Housing & Assisted Living Days - 141,403.Quality home care: For the fourth consecutive year, Providence Home Care in southern Oregon has been named as one of the top 500 home health agencies in the nation by HomeCare Elite, based on measures of quality and financial performance.Hospice services in rural area: Providence Hood River Memorial Hospital, a critical access facility, has expanded hospice care to serve residents in the Columbia Gorge area. |
| 7004623 | 7004623 | 0 | Grants & Allocations to Community Organizations - See Schedule I |
| 34012283 | 0 | 40769324 | Physician Fees |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 260569246 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 7004623 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 304061053 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 2043668258 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 1454 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 19803 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 1 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Karl E Fritschel CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4255253339 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1801 Lind Ave SW 9016 | AddressLine1 |
| City | Renton | City |
| State | WA | State |
| ZIP Code | 980579016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (51 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| Lucille Dean SP | ||||||||||
| Chair of the Board | 0.20 | 12.90 | X | X | 0 | 0 | 0 | |||
| M Adrian Davis LCM -Dcd 512 | ||||||||||
| Director | 0.20 | 2.70 | X | 0 | 0 | 0 | ||||
| Mary Corita Heid RSM | ||||||||||
| Director | 0.20 | 5.40 | X | 0 | 0 | 0 | ||||
| Michael A Stein | ||||||||||
| Director | 0.00 | 6.10 | X | 0 | 18300 | 0 | ||||
| Michael Holcomb | ||||||||||
| Director | 0.00 | 7.50 | X | 0 | 19050 | 0 | ||||
| Dana A Rasmussen | ||||||||||
| Director | 0.20 | 5.80 | X | 0 | 18300 | 0 | ||||
| James S Roberts MD | ||||||||||
| Director | 0.20 | 8.90 | X | 0 | 20500 | 0 | ||||
| Peter J Snow | ||||||||||
| Director | 0.20 | 5.60 | X | 0 | 20500 | 0 | ||||
| Jeffrey B Clode MD -Thru 612 | ||||||||||
| Director | 0.20 | 6.90 | X | 0 | 8750 | 0 | ||||
| Sallye Liner | ||||||||||
| Director | 0.20 | 4.00 | X | 0 | 15300 | 0 | ||||
| Owen B Robinson | ||||||||||
| Director | 0.20 | 5.30 | X | 0 | 15300 | 0 | ||||
| Cheryl M Scott | ||||||||||
| Director | 0.20 | 4.50 | X | 0 | 15000 | 0 | ||||
| Ellen L Wolf | ||||||||||
| Director | 0.20 | 7.60 | X | 0 | 15300 | 0 | ||||
| Isiaah Crawford | ||||||||||
| Director | 0.20 | 4.00 | X | 0 | 15000 | 0 | ||||
| Martha Diaz Aszkenazy | ||||||||||
| Director | 0.20 | 7.60 | X | 0 | 15175 | 0 | ||||
| Kirby McDonald | ||||||||||
| Director | 0.20 | 4.50 | X | 0 | 15175 | 0 | ||||
| Dave Olsen | ||||||||||
| Director | 0.20 | 5.40 | X | 0 | 15175 | 0 | ||||
| Charles Chuck Watts | ||||||||||
| Director | 0.20 | 6.00 | X | 0 | 15175 | 0 | ||||
| John Nordstrom -Thru 712 | ||||||||||
| Director | 0.20 | 0.60 | X | 0 | 0 | 0 | ||||
| John F Koster MD | ||||||||||
| President/CEO PH&S | 0.20 | 53.80 | X | 0 | 4069812 | 382715 | ||||
| Jeffrey W Rogers | ||||||||||
| Corporate Secretary | 0.20 | 49.80 | X | 0 | 623631 | 319793 | ||||
| Todd Hofheins | ||||||||||
| EVP/CFO | 0.20 | 59.80 | X | 0 | 555725 | 40426 | ||||
| Gregory Van Pelt | ||||||||||
| EVP/OR. Region | 60.00 | 0.00 | X | 0 | 1193691 | 434439 | ||||
| Shelly M Handkins | ||||||||||
| CFO/OR. Region | 50.00 | 0.00 | X | 0 | 483207 | 304167 | ||||
| Michael L Butler | ||||||||||
| Group President | 0.00 | 65.00 | 0 | 1406031 | 890844 | X | ||||
| Rod Hochman MD | ||||||||||
| Group President | 0.00 | 65.00 | 0 | 1438710 | 332177 | X | ||||
| David T Underriner | ||||||||||
| CEO/PSA | 0.00 | 40.00 | 0 | 583400 | 431860 | X | ||||
| John V Fletcher | ||||||||||
| VP/Operations Support | 0.00 | 55.00 | 0 | 1575373 | 259253 | X | ||||
| Janice J Jones | ||||||||||
| SVP/CAO | 0.00 | 55.00 | 0 | 1031256 | 204051 | X | ||||
| Myron Berdischewsky MD | ||||||||||
| SVP/CMQO | 0.00 | 60.00 | 0 | 2359308 | 166605 | X | ||||
| Cindra R Syverson | ||||||||||
| SVP/CHRO | 0.00 | 60.00 | 0 | 562260 | 220668 | X | ||||
| Terry L Smith | ||||||||||
| SVP/Management Svcs. | 0.00 | 60.00 | 0 | 1012414 | 349119 | X | ||||
| Craig L Wright MD | ||||||||||
| CE/OR. Ambulatory Clin. Svc. | 0.00 | 60.00 | 0 | 773915 | 392058 | X | ||||
| Ray Williams | ||||||||||
| SVP/Physician Svcs | 0.00 | 55.00 | 0 | 1240435 | 162999 | X | ||||
| Cindy Strauss | ||||||||||
| SVP/Chief Legal Officer | 0.00 | 55.00 | 0 | 621810 | 205922 | X | ||||
| Phil Jackson | ||||||||||
| VP/Physician Svc. & PMG | 0.00 | 55.00 | 0 | 609104 | 157689 | X | ||||
| John O Mudd | ||||||||||
| SVP/Mission Leadership | 0.00 | 55.00 | 0 | 505083 | 114350 | X | ||||
| Claudia Haglund | ||||||||||
| VP/Governance & Spons. | 0.00 | 50.00 | 0 | 501085 | 219670 | X | ||||
| Joel S Gilbertson | ||||||||||
| VP/Gov't & Public Affairs | 0.00 | 60.00 | 0 | 456934 | 105567 | X | ||||
| Joseph Siemienczuk MD | ||||||||||
| CEO/PMG | 0.00 | 40.00 | 0 | 452069 | 143472 | X | ||||
| Janice Burger | ||||||||||
| CEO/SVMC | 0.00 | 40.00 | 0 | 386625 | 235136 | X | ||||
| Orest Holubec | ||||||||||
| VP/ Communications | 0.00 | 55.00 | 0 | 410499 | 53484 | X | ||||
| Debbie Burton | ||||||||||
| VP/CNO | 0.00 | 65.00 | 0 | 405452 | 233827 | X | ||||
| Theron Park | ||||||||||
| CEO/PPMC | 0.00 | 40.00 | 0 | 376206 | 62872 | X | ||||
| Blair D Halperin | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | 664423 | 0 | 33766 | X | ||||
| Tyler J Gluckman | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | 763566 | 0 | 29130 | X | ||||
| Daniel S Oseran | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | 664074 | 0 | 32129 | X | ||||
| Erin J Allen | ||||||||||
| PMG Dermatology | 40.00 | 0.00 | 876203 | 0 | 43520 | X | ||||
| Walter J Urba | ||||||||||
| Clin.Research Admin. | 40.00 | 0.00 | 784305 | 0 | 65216 | X | ||||
| Eugene Al Parrish | ||||||||||
| Former SVP/RCE Alaska Region | 0.00 | 0.00 | 0 | 485519 | 57205 | X | ||||
| John Kenagy | ||||||||||
| Former VP/CIO | 0.00 | 0.00 | 0 | 858674 | 14815 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3752571 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 25220228 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 6698944 | TotalOtherCompensation |
| Number Individuals GT100 K | 2094 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Oregon Emergency Physicians PC | |||||
| 9155 Barnes Rd Ste 420 | Portland | OR | 97225 | Medical Services | 34006794 |
| Andersen Construction Co Inc | |||||
| 6712 N Cutter Cir | Portland | OR | 97217 | Construction Services | 25401370 |
| Cross Country Travcorps Incorporated | |||||
| File 50941 | Los Angeles | CA | 900740941 | Outside Staffing | 12661085 |
| Anesthesia Assoc Northwest LLC | |||||
| 6400 SE Lake Rd Ste 130 | Portland | OR | 972222129 | Medical Services | 10388943 |
| The Oregon Clinic PC | |||||
| 847 NE 19th Avenue Ste 300 | Portland | OR | 972322684 | Medical Services | 9450009 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 475 | NumberOfContractorsGT100K |
| Federated Campaigns | 4238 | FederatedCampaigns |
| Fundraising Events | 103251 | FundraisingEvents |
| Related Organizations | 16501199 | RelatedOrganizations |
| Government Grants | 12841898 | GovernmentGrants |
| All Other Contributions | 5515488 | AllOtherContributions |
| Noncash Contributions | 96976 | NoncashContributions |
| Total Contributions | 34966074 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Acute Care/Inpatient | 900099 | 1040096101 | 1040096101 |
| Acute Care/Outpatient | 621400 | 834207685 | 834207685 |
| LTC/HomeCare/Hospice | 621610 | 248102961 | 248102961 |
| Primary Care | 621110 | 234630488 | 234630488 |
| Physician Fees | 900099 | 40193383 | 40193383 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2397230618 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19886816 | TotalRevenueColumn |
| Exclusion | $19,886,816 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 694349 | TotalRevenueColumn |
| Exclusion | $694,349 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 26285401 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 17921588 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 8363813 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8363813 | TotalRevenueColumn |
| Exclusion | $8,363,813 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 779670870 | Securities |
| Other | 3452280 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 738159528 | Securities |
| Other | 1952417 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 41511342 | Securities |
| Other | 1499863 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 43011205 | TotalRevenueColumn |
| Exclusion | $43,011,205 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 55046 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 103251 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 111071 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -56025 | TotalRevenueColumn |
| Exclusion | -$56,025 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Gaming | 2450 | GrossIncomeGaming |
| Gaming Direct Expenses | 208 | GamingDirectExpenses |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2242 | TotalRevenueColumn |
| Exclusion | $2,242 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 45944294 | GrossSalesOfInventory |
| Cost Of Goods Sold | 31659862 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14284432 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11471020 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2813412 | UnrelatedBusinessRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Contracted Services | 900099 | 25272006 | 25272006 | ||
| Laboratory | 621500 | 14531096 | 14531096 | ||
| Cafeteria Revenue | 722210 | 13996779 | $13,996,779 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24485851 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9215455 | RelatedOrExemptFunctionIncome |
| Exclusion | $15,270,396 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 78285732 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2596669256 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2443189099 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 17344508 | UnrelatedBusinessRevenue |
| Exclusion | $101,169,575 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7004623 | Total |
| Program Services | 7004623 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6099390 | Total |
| Management And General | 6099390 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1016419618 | Total |
| Program Services | 890403688 | ProgramServices |
| Management And General | 126015930 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85259449 | Total |
| Program Services | 74378028 | ProgramServices |
| Management And General | 10881421 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 146870201 | Total |
| Program Services | 129739706 | ProgramServices |
| Management And General | 17130495 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85709160 | Total |
| Program Services | 74770344 | ProgramServices |
| Management And General | 10938816 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1075144 | Total |
| Program Services | 217379 | ProgramServices |
| Management And General | 857765 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28505 | Total |
| Management And General | 28505 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 231472 | Total |
| Management And General | 231472 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1528262 | Total |
| Management And General | 1528262 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325090912 | Total |
| Program Services | 212694229 | ProgramServices |
| Management And General | 112396683 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8324568 | Total |
| Program Services | 1853121 | ProgramServices |
| Management And General | 6471447 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44895977 | Total |
| Program Services | 27282537 | ProgramServices |
| Management And General | 17613440 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43862246 | Total |
| Program Services | 5521408 | ProgramServices |
| Management And General | 38340838 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48289953 | Total |
| Program Services | 34457901 | ProgramServices |
| Management And General | 13832052 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5216833 | Total |
| Program Services | 3971340 | ProgramServices |
| Management And General | 1245493 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2702228 | Total |
| Program Services | 1762798 | ProgramServices |
| Management And General | 939430 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6218584 | Total |
| Program Services | 6218584 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37548783 | Total |
| Management And General | 37548783 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101709391 | Total |
| Program Services | 92969108 | ProgramServices |
| Management And General | 8740283 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8859052 | Total |
| Program Services | 8504600 | ProgramServices |
| Management And General | 354452 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 337520993 | 337402305 | 118688 |
| Provider Tax Expense | 70194831 | 70194831 | |
| Bad Debts | 55241598 | 55241598 | |
| Research Expense | 5185237 | 5185237 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16092791 | Total |
| Program Services | 3894893 | ProgramServices |
| Management And General | 9164068 | ManagementAndGeneral |
| Fundraising | 3033830 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2467179801 | Total |
| Program Services | 2043668258 | ProgramServices |
| Management And General | 420477713 | ManagementAndGeneral |
| Fundraising | 3033830 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114650 | BOY |
| EOY | 1925346 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60572429 | BOY |
| EOY | 87970232 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 999977 | BOY |
| EOY | 2719357 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289811342 | BOY |
| EOY | 298013045 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3956288 | BOY |
| EOY | 3434252 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35832779 | BOY |
| EOY | 35149498 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24399659 | BOY |
| EOY | 24956608 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2685121360 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1509110252 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1209566160 | BOY |
| EOY | 1176011108 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 835693287 | BOY |
| EOY | 800753018 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142280 | BOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82445818 | BOY |
| EOY | 83450817 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4452069 | BOY |
| EOY | 3201817 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68466686 | BOY |
| EOY | 75482846 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2616453424 | BOY |
| EOY | 2593067944 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221057350 | BOY |
| EOY | 232731831 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24885041 | BOY |
| EOY | 27441149 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 317970000 | BOY |
| EOY | 311990000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4967098 | BOY |
| EOY | 6657984 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1474931 | BOY |
| EOY | 1351619 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62618046 | BOY |
| EOY | 49072323 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 632972466 | BOY |
| EOY | 629244906 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1929703471 | BOY |
| EOY | 1906061097 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26040932 | BOY |
| EOY | 29571341 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27736555 | BOY |
| EOY | 28190600 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1983480958 | BOY |
| EOY | 1963823038 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2616453424 | BOY |
| EOY | 2593067944 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 129489455 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 12582392 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -161729767 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Mailings Members | $17,766 | MailingsMembersAmount |
| Publications Or Broadcast | 1 | PublicationsOrBroadcast |
| Publications Or Broadcast | $17,126 | PublicationsOrBroadcastAmount |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $135,020 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $270,374 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 1 | RalliesDemonstrations |
| Rallies Demonstrations | $21,613 | RalliesDemonstrationsAmount |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 461899 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Lobbying activity included: * Analysis of early draft legislation for 2012 Oregon Legislative Session * Visits, calls, e-mails, and letters to state legislators, legislative bodies, and members of Congress * Visits, calls, e-mails, and letters to legislative staff and government officials * Discussions and meetings with lobbyists * Ongoing analysis of legislation during the 2012 Legislative Session * Attending state, federal and local government hearings and meetings in the Portland area Ballot measures * During 2012, Providence in Oregon did not engage in discussions on any state and local government ballot measures. * We contributed financially to school district and community health ballot measures, but did not engage in advocacy. Issues advocacy Major issues supported, opposed, or commented on to legislators/government officials/staffers by Providence in Oregon, in 2012 include: * Employer/employee relations issues * Health insurance mandates * Health insurer regulatory, finance and legislative issues * Hospital regulatory, finance and legislative issues * Long term care facilities regulatory, finance and legislative issues * Medicaid health care transformation and coordinated care organizations * Oregon health insurance exchange * Health care workforce issues * Provider reimbursement and alternative payment methods * Pharmacy benefit management issues * Pharmacy prescribing practices and coverage * Cultural competency and eliminating disparities in health care * Patient privacy and notification * Mental health integration and benefit * Community health needs assessment * Local government: - Transportation and economic issues - Community outreach and education - Paid sick leave - Water fluoridation | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 26601731 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 83073051 | OtherCostOrOtherBasis |
| Book Value | 109674782 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 3590000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1190005572 | OtherCostOrOtherBasis |
| Depreciation | 621776501 | Depreciation |
| Book Value | 571819071 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 50796298 | OtherCostOrOtherBasis |
| Depreciation | 32782884 | Depreciation |
| Book Value | 18013414 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2598 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 805104853 | OtherCostOrOtherBasis |
| Depreciation | 663301294 | Depreciation |
| Book Value | 141806157 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 525947257 | OtherCostOrOtherBasis |
| Depreciation | 191249573 | Depreciation |
| Book Value | 334697684 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1176011108 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Resident Trust Funds | $670,576 |
| LT Asset Retirement Obligation - FIN 47 | $3,402,890 |
| Third Party Reserves | $22,621,766 |
| Bond Premium Discount | $5,229,952 |
| Capitalized Lease Obligations | $102,525 |
| Pension Benefit Obligation | $17,044,614 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 49072323 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | The Health System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Montessori Auction | NameOfEvent1 |
| Gross Receipts Event1 | 158297 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 103251 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 55046 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 2000 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 7868 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 101203 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 158297 | GrossReceiptsTotal |
| Charitable Contributions Total | 103251 | CharitableContributionsTotal |
| Gross Revenue Total Events | 55046 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 2000 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 7868 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 101203 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 111071 | DirectExpenseSummaryEvents |
| Net Income Summary | -56025 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 94649000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 94649000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03920 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 261869000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 193790000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 68079000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02820 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 1648000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 980000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 668000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 358166000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 194770000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 163396000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06770 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 4928583 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 708691 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4219892 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 25072822 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6084318 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18988504 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 22252258 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11225027 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11027231 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 21584508 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 21584508 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 3751337 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 642469 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3108868 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 77589508 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18660505 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 58929003 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02440 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 435755508 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 213430505 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 222325003 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09210 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 20150 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1350 | DirectOffsettingRevenue |
| Net Community Building Expense | 18800 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 259065 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 51150 | DirectOffsettingRevenue |
| Net Community Building Expense | 207915 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 60683 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 20810 | DirectOffsettingRevenue |
| Net Community Building Expense | 39873 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 154671 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 36300 | DirectOffsettingRevenue |
| Net Community Building Expense | 118371 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 42078 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1600 | DirectOffsettingRevenue |
| Net Community Building Expense | 40478 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 178632 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 11319 | DirectOffsettingRevenue |
| Net Community Building Expense | 167313 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 715279 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 122529 | DirectOffsettingRevenue |
| Net Community Building Expense | 592750 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $55,241,598 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 759955000 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 890022000 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -130067000 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Oregon Outpatient Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Ambulatory Surgery Center | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.51000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 8 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (8 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | Facility Reporting GroupFacilityReportingGroup | Critical Access HospitalCriticalAccessHospital | OtherOther |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Portland Medical Center | |||||||||||
| 1 | 4805 NE Glisan St | Portland | OR | 97213 | X | X | X | X | A | ||
| Providence St Vincent Medical Center | |||||||||||
| 2 | 9205 SW Barnes Rd | Portland | OR | 97225 | X | X | X | X | A | ||
| Providence Milwaukie Hospital | |||||||||||
| 3 | 10150 SE 32nd | Milwaukie | OR | 97222 | X | X | X | A | |||
| Providence Hood River Mem Hospital | |||||||||||
| 4 | 811 - 13th Street | Hood River | OR | 97031 | X | X | A | X | |||
| Providence Seaside Hospital | |||||||||||
| 5 | 725 S Wahanna Rd | Seaside | OR | 97138 | X | X | A | X | Nursing Facility | ||
| Providence Newberg Medical Center | |||||||||||
| 6 | 1001 Providence Drive | Newberg | OR | 97132 | X | X | X | A | |||
| Providence Medford Medical Center | |||||||||||
| 7 | 1111 Crater Lake Avenue | Medford | OR | 97504 | X | X | X | A | |||
| Providence Willamette Falls Med Ctr | |||||||||||
| 8 | 1500 Division Street | Oregon City | OR | 97045 | X | X | A | ||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Providence Health & Services - Oregon | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 25 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (25 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Prov Portland Med Ctr Dialysis Unit | ||||
| 4805 NE Glisan St | Portland | OR | 97213 | ESRD-End Stage Renal Disease |
| Providence St Vincent Kidney Dialysis | ||||
| 9450 SW Barnes Rd Suite 125 | Portland | OR | 97225 | ESRD-End Stage Renal Disease |
| PHRMH Ray Yasui Dialysis Center | ||||
| 1125 May Avenue | Hood River | OR | 97031 | ESRD-End Stage Renal Disease |
| Providence Home Health | ||||
| 6410 NE Halsey Suite 200 | Portland | OR | 97213 | Home Health Agency |
| Prov Benedictine Nursing Center HHA | ||||
| 570 S Main St | Mt Angel | OR | 97362 | Home Health Agency |
| Providence Home Care | ||||
| 2033 Commerce Drive | Medford | OR | 97504 | Home Health Agency |
| Providence Hospice | ||||
| 6410 NE Halsey Suite 300 | Portland | OR | 97213 | Hospice |
| Providence Medford Hospice | ||||
| 2033 Commerce Drive | Medford | OR | 97504 | Hospice |
| Surgery Center at Tanasbourne | ||||
| 18650 NW Cornell Rd Suite 110 | Hillsboro | OR | 97124 | Ambulatory Surgery Center |
| Center for Specialty Surgery | ||||
| 11782 SW Barnes Rd 200 Bldg C | Portland | OR | 97225 | Ambulatory Surgery Center |
| Oregon Outpatient Surgery | ||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | Ambulatory Surgery Center |
| Providence Child Center | ||||
| 860 NE 47th Ave | Portland | OR | 97213 | Nursing Facility |
| Providence Benedictine Nursing Center | ||||
| 540 S Main St | Mt Angel | OR | 97362 | Nursing Facility |
| Providence Seaside Hospital | ||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | Nursing Facility |
| Providence Benedictine Orchard House | ||||
| 550 S Main St | Mt Angel | OR | 97362 | Assisted Living Facility |
| Providence Brookside Manor | ||||
| 1550 Brookside Dr | Hood River | OR | 97031 | Assisted Living Facility |
| Prov Elderplace in Irvington Village | ||||
| 420 NE Mason | Portland | OR | 97211 | Assisted Living Facility |
| Providence Elderplace in Glendover | ||||
| 13007 NE Glisan St | Portland | OR | 97230 | Residential Care Facility |
| Providence Elderplace in Cully | ||||
| 5119 NE 57th Ave | Portland | OR | 97218 | Residential Care Facility |
| Providence Brookside Memory Care | ||||
| 1550 Brookside Dr | Hood River | OR | 97031 | Residential Care Facility |
| Providence Willamette Falls Hospice | ||||
| 1505 Division Street | Oregon City | OR | 97045 | Hospice Services |
| Providence WF - Canby Place | ||||
| 200 S Hazel Dell Way | Canby | OR | 97013 | Urgent Care & Diagnostic Imaging |
| Providence WF Med Grp-OR City | ||||
| 1510 Division Street | Oregon City | OR | 97045 | Primary Care Spine Center/General Surgery |
| Providence WF MedGrp-Sunnyside | ||||
| 9775 SE Sunnyside Road | Clackamas | OR | 97015 | Primary Care & Occupational Health |
| Proviodence WF Med Group - West Linn | ||||
| 18676 Willamette Dr Suite 100 | West Linn | OR | 97068 | Primary Care |
Form990 Schedule H Part VI Form990ScheduleHPartVI (35 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 55241598. | ||
| Part II: COMMUNITY BUILDING ACTIVITIES:Basic needs including food security and housing:Providence recognizes that the social determination of health needs includes adequate housing, food, transportation, utilities and primary education. These deficits fall disproportionately on low-income and multicultural populations and therefore Providence has aligned its community building and diversity programs to intersect with and advise our community benefit giving. Oregon ranks third in homelessness per capita according to the U.S. Department of Housing and Urban Development Lack of adequate housing contributes to poor health; therefore, Providence supports a number of not-for-profit community organizations that help homeless people or work to prevent homelessness. Providence is the only health system asked to participate on the 10 Year Plan Homelessness Reset Committee. In addition, we partner with organizations in multiple Oregon communities that provide or support low-income housing. Some important partners include: Central City Concern, St. Vincent De Paul, Catholic Charities, Transition Projects Incorporated, the Good Neighbor Center, Neighborhood Partnership Fund, Portland Rescue Mission, Share Outreach Vancouver and West Women's Shelter.Providence has been a leader in recognizing the significant impact of hunger on the health and well-being of all residents in the state. Oregon ranks as one of the five "hungriest states," with nearly 65% of eligible children qualifying for free or reduced lunches. Providence works with the Oregon Food Bank, The Children's Nutrition Network, The Governor's Task Force to End Hunger and Farmer's Ending Hunger, Oregon childhood hunger task force, as well as numerous food pantries in communities we serve. Economic Development:Economic development has an important impact on available housing and services for the underserved. An economically depressed area cannot easily support and care for the vulnerable. Providence looks for partnerships with like-minded organizations that will encourage a stable and strong economy. We participate in local and state organizations in each of our ministries, as well as provide executive leadership to city, county and state boards. Support for Healthy Lives and Healthy Communities:It is critical that such needs as after school programs, neighborhood support groups and violence prevention be identified and addressed in communities. We have involved public and private partners such as Self-Enhancement, Inc. as well as the Portland Trailblazers and The Portland Timbers in collaborative health initiatives. In addition, we have many not-for-profit community partners with whom we work and support financially to reach populations who need these types of services. Leadership Development and Training for Community Members and Youth:In this area, Providence has put a strong focus on diverse and low-income communities. For example, for some years we have provided scholarships for youth in multicultural and diverse populations, including Asian, African-American and Hispanic communities. Community partners include: Self Enhancement Incorporated, Hood River School District, De La Salle North School and Rosemary Anderson High School. Building Health Equity and Collaboration: Providence has long known that, while we can do a great deal to help our communities, we often can get the best results in meeting health needs, and those basic needs that contribute to or affect health, by aligning with other organizations that have an established presence and expertise. Throughout our history, we have sought like-minded partners with a mission to care for the vulnerable in the communities we serve. During 2012, we continued our financial support to an array of diverse organizations that are intent on building collaborative programs that will meet community health and build health equity. These include: the African-American Health Coalition, Asian Muslims in Need, Catholic Charities, Jefferson Regional Health Alliance, Asian Health and Service Center, La Clinica del Carinho, United Way of Jackson County and many more. In addition, Providence's Office of Community Services and Development meets regularly with the head of the state office of Health Equity and Diversity. Community Health Improvement Advocacy:In keeping with our strong commitment to social justice, Providence is an advocate for those among us who do not have a voice in policy development and community decision making. During 2012, we worked with Community Connections, Upstream Public Health, Public Health Institute, Community Health Partnerships, El Program Hispano, Ecumenical Ministries of Oregon, Northwest Health Foundation, Oregon Primary Care Association, NAMI, Office of Health Equity and Ride Connection, among others, to ensure that the needs of those we serve have been articulated to policy makers. We actively supported initiatives to improve provider cultural competence in care giving with required continuing education courses. We have a responsibility to care for people who come to us for services and also to seek out the unmet needs of people who lack basic essentials every day. As a not-for-profit health care system, Providence Health & Services reinvests its income into the communities we serve. We partner with local organizations to help improve health and quality of life for those who are poor, marginalized and vulnerable. To ensure that we use our resources responsibly - where they can help those most in need - we attempt to match our giving to areas of greatest need, as identified in our Oregon Community Health Needs Assessment. We invite you to review how were working with our community partners to ease some of these greatest needs per our 2012 Oregon Region Community Benefit report: Access to mental health careThrough a unique partnership, George Fox University and Providence Newberg Medical Center are making mental health counseling, therapy and consultations available to low-income and uninsured Yamhill County residents. Access to primary medical careWhen people don't have a family physician, they often turn to emergency departments for care when they have pain, chronic illnesses or non-life-threatening injuries. Providence is working with organizations throughout Oregon to redirect people from expensive emergency departments to more appropriate and more affordable clinics where they can get preventive and primary care.Access to dental careMedical Teams International is known for providing health care services to impoverished people around the world. In Oregon, the organization is partnering with Providence to bring free or low-cost dental care to adults and children who can't pay for treatment. The mobile dental van brought dentistry to people at two Providence hospitals last year, and we're adding a new site in 2013.Access to basic needs: foodWhen Providence Milwaukie Hospital opted to turn an unused plot of ground into community gardens, they had no idea how enthusiastically their staff would care for the gardens or how many pounds of fresh vegetables would soon be filling plates of families in need in Clackamas County.Access to basic needs: transportationWith one easy phone call, homebound seniors in south Clatsop County can get a car ride to a medical or dental appointment, to the pharmacy or even to the grocery store. In 2012, Providence volunteers drove seniors more than 16,300 miles.Workforce Development:Providence provided financial support to the De La Salle North Catholic High School, Albertina Kerr, De Paul Industries, University of Portland, Portland State University, Hood River County Health Department, the Oregon Center for Nursing, POIC and a workforce development initiative in Oregon City, all of which are working to enhance communitywide workforce issues in various parts of Oregon. | ||
| Part III, Line 4: Bad Debt expense consist of actual write off of accounts sent to collection, recovery of collections and an estimated amount based on outstanding AR. The charity policy states that Providence makes all reasonable attempts to confirm that patients are not eligible for assistance programs prior to collection agency assignment (Refer to the Oregon Policy "Collection Practices for Financial Assistance Patients"). In regards to outstanding AR for the hospitals:1. The process takes into account the adjustments and payments that have already occurred. The process then valuates the responsibility as to the Insurance Responsibility and Patient Responsibility. 2. Historical Write-Off percentages are applied, at the account level, for the Insurance and Patient balance on the account. All of the un-insured is considered to be Patient Balance since no insurance payments are expected on those accounts.3. The Patient Responsibility is further dissected into Bad Debt and Charity. Bad Debt is calculated on the patient balances for all financial classes using current and historical percentages. 4. The difference of patient balance identified as Bad Debt and the remaining balance is deemed and accrued as Charity. | ||
| Part III, Line 8: It is Providence's policy to exclude any Medicare shortfall from Community Benefit information.The amount reported on Part III, Section B, line 6, was determined by applying the Cost-to-Charge Ratio to the Medicare revenue. | ||
| Part III, Line 9b: Billing and Collection Practices1. Providence makes all reasonable attempts to confirm that patients are not eligible for assistance programs prior to collection agency assignment. 2. Providence activity prior to transferring an account - Prior to transfer to a collection agency, Providence will send a minimum of 3 statements and make two phone attempts to the patient at the address and phone number provided by the patient. Statements and communications will inform the patient of their financial responsibility and of Financial Assistance. 3. In cases where a voluntary trust deed has secured a Providence debt, Providence does not execute a lien that forces the sale, vacancy or foreclosure of an assistance patient's primary residence to pay for outstanding medical bills. | ||
| Part VI, Line 2: NEEDS ASSESSMENT:We recognize that caring for the poor and vulnerable is not a task we can do on our own. On a routine basis we conduct a formal community assessment to determine who in our communities is experiencing the greatest need. This outreach connects us to many not-for-profits and social service agencies as well as care providers and their clients in the communities. To ensure that we conduct a comprehensive assessment, our process includes research, meetings, interviews, focus groups and surveys.Additionally, Providence ministries have community and foundation boards. The civic leaders that serve on Providence Boards connect our Mission with a local perspective on community needs.Our assessment findings are assembled to make certain we understand and respond to local and regional needs, which often vary from one city or county to another. Identified areas of need not only guide our community benefit giving, but also guide our strategic planning. We believe meaningful community needs assessment provides insight into the complete community benefit that is required, beyond just free and discounted care. | ||
| Part VI, Line 3: COMMUNICATION TO THE PUBLIC:Providence hospitals post notices regarding the availability of financial assistance to low-income uninsured patients. These notices are posted in visible locations throughout the hospital such as admitting/registration, billing office, emergency department and other outpatient settings.Every posted notice regarding financial assistance policies contains brief instructions on how to apply for financial assistance or a discounted payment. The notices also include a contact telephone number that a patient or family member can call to obtain more information.Providence ensures that appropriate staff members are knowledgeable about the existence of the hospital's financial assistance policies. Training is provided to staff members (i.e., billing office, financial department, etc.) who directly interact with patients regarding their hospital bills.When communicating to patients regarding their financial assistance policies, Providence attempts to do so in the primary language of the patient, or his/her family, if reasonably possible, and in a manner consistent with all applicable federal and state laws and regulations.Providence shares their financial assistance policies with appropriate community health and human services agencies and other organizations that assist such patients. | ||
| Part VI, Line 4: COMMUNITY INFORMATION:Providence Health & Services in Oregon serves both urban and rural areas throughout a geographically diverse state, including with hospitals, health plans, physicians, clinics, home health services, long-term care and affiliated health services. Three of our hospitals in Oregon are rural and five are in urban settings; they range in size from 25 beds to 523 beds (licensed). Of our 94 clinics, six are safety nets and many more provide a significant proportion of care to underserved populations. We continue our commitment to acute behavioral health care and have one of the only units for children less than 12 years in the entire state. We have the only long-term care facility for medically fragile children in the Pacific Northwest.Out of a total population of more than 3.87 million in Oregon:* 625,594 or 16% are covered by Medicare compared to a national average of 15%.* 665,000 or 17% are covered by Medicaid.* An estimated 633,100 or 19% non-elderly people were uninsured. All of our hospitals, clinics and other facilities are open to these populations. Below are some quick facts:* About 60% of the patients served by Providence Oregon's six safety net clinics are uninsured or on Medicare or Medicaid. * Medicare represents about 16% of Oregon's population, but in 2012, 41.3% of the patient revenues at our eight hospitals were Medicare.* Providence provided 23% of all charity care in Oregon during 2012 - more than our entire market share of 20% in the state. * Providence facilities charity as a percentage of gross charges averaged 6.5% compared to the state average of 4.7%. * Almost all the children at Providence Child Center are covered by Medicaid. | ||
| Part VI, Line 5: FURTHERANCE OF EXEMPT PURPOSE:As a not-for-profit Catholic health care ministry, Providence Health & Services embraces its responsibility to provide for the needs of the communities it serves - especially the poor and vulnerable. Providence's not-for-profit, tax-exempt status enables Providence to serve its communities, to solicit donations through its foundations and to access capital to respond to community needs that otherwise would go unmet. Health care is fundamentally different from most other goods and services. It is about the most human and intimate needs of people, their families and communities. This critical difference is why we should work together to preserve and strengthen the not-for-profit sector in health care.In each of the communities where we serve, our ministries are actively involved with public, private and other health systems in working towards better health outcomes for the entire community. Examples of this include: participation by all Portland area hospitals and all four county health departments in a single collaborative community health needs assessment. In addition, with working as a founder and ongoing partner of Portland Project Access NOW, Providence facilities represent four of fourteen participating hospitals and 3,300 providers who agree to provide needed medical care to Oregon community members with low incomes and with urgent needs. Providence's participation and support helps to ensure that this is achievable. Another example of our collaborative participation is in Hood River County, where Providence Hood River is working with a collaboration of community agencies to form a Project Access model that is called Gorge Access Project (GAP). In addition, we still are home to the county's community health collaborative, MOCHA, which brings together the hospital, the schools, the growers, the public health department, community health center and private providers to identify and work on community health needs in a collaborative manner. | ||
| Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEM:Providence Health & Services owns or operates 32 general acute care hospitals, three ambulatory care centers, five medical groups, six long-term care facilities, seven homecare and hospice entities, five assisted living facilities, a children's nursing center and Montessori school, a high school, a university, 13 low-income housing projects, the Health Plan, a health services contractor, two programs of all inclusive care for the elderly, and 21 controlled fundraising foundations.The Health System provides inpatient, outpatient, primary care, and home care services in Alaska, Washington, Montana, Oregon and Southern California. The Health System operates these businesses primarily in the greater metropolitan areas of Anchorage, Alaska; Everett, Seattle, Edmonds, Spokane and Olympia, Washington; Missoula, Montana; Portland and Medford, Oregon; and Los Angeles, California.The charitable purpose of Providence Health & Services and each of its ministries is guided by one Mission and set of core values based on Catholic health care and guided by the legacy of the Sisters of Providence. As one system committed to caring for the poor and vulnerable, Providence Health & Services has developed a single framework for consistently reporting charity care and community benefit. Our responsibility to stewardship drives us to a standardized approach to supply chain so that we can deliver excellent patient care while reducing the cost of delivered supplies. Our commitment to respect and fairness means Providence has a system-wide compensation policy. Locally, Providence ministries are empowered to apply these policies to meet the local needs of their community. Additionally, Providence ministries conduct local assessments to make sure the needs of the community are met. As an integrated health system, Providence Health & Services - Oregon Region and Providence Health Plans (based in Oregon) provide extensive services that support and promote the health needs of the communities we serve. In 2011, Providence Oregon provided more than $215 million in community benefits and charity care services including: free and reduced-cost medical care; health services for underserved populations; Oregon Health Plan (Medicaid) and government sponsored medical care (such as OMIP, the Oregon high risk insurance pool); medical education and research; and community health grants and donations. These contributions and benefits to our Oregon communities are shared between our eight hospitals, our clinical programs and Providence Medical Group, and the Providence Health Plan. Throughout our more than 155-year-history, Providence has responded to community need, with special emphasis on helping the most vulnerable. In 2011, Providence Oregon provided more than $4 million in direct grants of support to at least 123 not-for-profit organizations and service agencies throughout Oregon. Thousands of adults and children received help and support through these grants, donations and community outreach. Our areas of focus include primary care and new models of team-based care delivery for uninsured, low-income and culturally diverse populations, as well as access to behavioral health care for underserved populations. We also help provide palliative care and safety net health care services for underserved populations.Providence in Oregon collaborates with community partners to help manage the cost of health care and change the way patients are cared for in our community. We believe patient-centered, team-based primary care is the foundation of health care transformation. Disparities are a feature of health care in Oregon as they are nationally. Providence's integrated delivery of care in Oregon allows us to provide leadership in developing new clinical models to coordinate care, standardize processes and improve patient outcomes. Providence is developing new patient centered primary care home models of health care delivery in Portland using employed physicians in partnership with Providence Health Plans, other commercial insurers and the Medicaid population. We currently have medical home models in 19 sites throughout the state. Many of these sites are targeted at underserved and high risk populations. Within Oregon, Providence has been an active participant in shaping the transformation of the state's health care system. Providence leaders were selected by the governor to participate in workshops that will help define the details of coordinated care organizations and make additional recommendations to the 2012 legislative session. Providence is already making changes internally and working with other health systems and community partners to begin this transformation. | ||
| OR,WA,CA,MT,AK | Reports Filed With States | Part VI, Line 7 |
| See below | Part V, Line 8 Facility Reporting Group A | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 1 -- Providence Portland Medical Center | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 1 -- Providence Portland Medical Center | Part V, Section B, line 20d: |
| Facility 1 -- Providence Portland Medical Center | Part V, Section B, line 22: | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 2 -- Providence St. Vincent Medical Center | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 2 -- Providence St. Vincent Medical Center | Part V, Section B, line 20d: |
| Facility 2 -- Providence St. Vincent Medical Center | Part V, Section B, line 22: | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 3 -- Providence Milwaukie Hospital | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 3 -- Providence Milwaukie Hospital | Part V, Section B, line 20d: |
| Facility 3 -- Providence Milwaukie Hospital | Part V, Section B, line 22: | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 4 -- Providence Hood River Mem. Hospital | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 4 -- Providence Hood River Mem. Hospital | Part V, Section B, line 20d: |
| Facility 4 -- Providence Hood River Mem. Hospital | Part V, Section B, line 22: | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 5 -- Providence Seaside Hospital | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 5 -- Providence Seaside Hospital | Part V, Section B, line 20d: |
| Facility 5 -- Providence Seaside Hospital | Part V, Section B, line 22: | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 6 -- Providence Newberg Medical Center | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 6 -- Providence Newberg Medical Center | Part V, Section B, line 20d: |
| Facility 6 -- Providence Newberg Medical Center | Part V, Section B, line 22: | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 7 -- Providence Medford Medical Center | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 7 -- Providence Medford Medical Center | Part V, Section B, line 20d: |
| Facility 7 -- Providence Medford Medical Center | Part V, Section B, line 22: | |
| Brochures given to every uninsured patient at check in, web-sites, all materials in 4 languages, all call center and self pay follow-up staff trained in explaining and offering charity applications, collection agencies contracts require them to offer charity | Facility 8 -- Providence Willamette Falls Med. Ctr. | Part V, Section B, line 14g: |
| The hospital used the average of the largest negotiated commerical insurance rate. | Facility 8 -- Providence Willamette Falls Med. Ctr. | Part V, Section B, line 20d: |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (58 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Amount Of Non Cash AssistanceAmountOfNonCashAssistance | Method Of ValuationMethodOfValuation | Description Of Non Cash AssistanceDescriptionOfNonCashAssistance |
|---|---|---|---|---|---|---|---|---|---|---|
| Providence St Vincent Medical Foundation | ||||||||||
| PO Box 13993 | Portland | OR | 97213 | 930575982 | 501(c) 3 | 1446117 | Community Health Support | |||
| Providence Portland Medical Foundation | ||||||||||
| 4805 NE Glisan | Portland | OR | 97213 | 931231494 | 501(c) 3 | 1326116 | Community Health Support | |||
| Providence Child Center Foundation | ||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | 501(c) 3 | 415911 | Community Health support | |||
| Virginia Garcia Memorial Clinic | ||||||||||
| PO Box 568 | Cornelius | OR | 97113 | 930717997 | 501(c) 3 | 390000 | Community Health Support | |||
| Providence Community Health Foundation | ||||||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | 501(c) 3 | 332530 | Community Health Support | |||
| Luke Dorf Inc | ||||||||||
| 8915 SW Center St | Tigard | OR | 97223 | 930685734 | 501(c) 3 | 0 | Support community Mental Health | 263650 | FMV | Real Property |
| Providence Newberg Foundation | ||||||||||
| 1001 Providence Drive | Newberg | OR | 97132 | 930889144 | 501(c) 3 | 250316 | Community Health Support | |||
| Providence Milwaukie Foundation | ||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | 501(c) 3 | 222678 | Community Health Support | |||
| Providence Hood River Foundation | ||||||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | 501(c) 3 | 172230 | Community Health Support | |||
| Providence Benedictine Nursing Center Fndn | ||||||||||
| 540 S Main St | Mt Angel | OR | 97362 | 911940286 | 501(c) 3 | 151551 | Community Health support | |||
| Central City Concern | ||||||||||
| 232 NW Everett St | Portland | OR | 97209 | 930728816 | 501(c) 3 | 137680 | Family alcohol and drug free Comm Housing | |||
| Project Access Now | ||||||||||
| 1311 NW 21st Ave | Portland | OR | 97296 | 208928388 | 501(c) 3 | 135000 | 2010/2011 Stakeholder Contribution | |||
| Oregon Health Science University | ||||||||||
| 3181 SW Sam Jackson Park Rd | Portland | OR | 97239 | 931176109 | 501(c) 3 | 131289 | Donation Partnership Project | |||
| Providence Willamette Falls Foundation | ||||||||||
| 1500 Division St | Oregon City | OR | 97225 | 931003750 | 501(c) 3 | 123081 | Community Health support | |||
| Medical Teams International | ||||||||||
| PO Box 10 | Portland | OR | 97207 | 930878944 | 501(c) 3 | 120000 | Great Adventure Dinner and Auction | |||
| Providence Seaside Foundation | ||||||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | 501(c) 3 | 111073 | Community Health Support | |||
| Legacy Emanuel Hospital | ||||||||||
| PO Box 5939 | Portland | OR | 97228 | 930386823 | 501(c) 3 | 100000 | Cares NW program | |||
| The Oregon Community Foundation | ||||||||||
| 1221 SW Yamhill St Suite 100 | Portland | OR | 97205 | 237315673 | 501(c) 3 | 100000 | Grants for community health needs assessment | |||
| United Way Columbia-Willamette | ||||||||||
| 619 SW 11th Ave Suite 300 | Portland | OR | 97205 | 930582124 | 501(c) 3 | 75000 | Community Health Support | |||
| Hood River County Health Department | ||||||||||
| 1109 June St | Hood River | OR | 97031 | 936002297 | Government | 70880 | School health services | |||
| Southwest Community Health Clinic | ||||||||||
| 7754 SW Capital Hwy | Portland | OR | 97219 | 743050497 | 501(c) 3 | 53800 | Support for chronic disease mgmt pilot project | |||
| Catholic Charities | ||||||||||
| 231 SE 12th Ave | Portland | OR | 97214 | 930386801 | 501(c) 3 | 50630 | Sponsorship of El Programa Hispano | |||
| Oregon Health Authority | ||||||||||
| 800 NE Oregon St Suite 550 | Portland | OR | 97232 | 936001752 | Government | 45000 | Support for the study of community health work | |||
| City of Hood River | ||||||||||
| PO Box 27 | Hood River | OR | 97031 | 936002186 | Government | 40000 | Community Health support | |||
| NW Parish Nurse Ministries | ||||||||||
| 2801 N Gantenbein Ave Room 1072 | Portland | OR | 97227 | 943180955 | 501(c) 3 | 40000 | Support for promoting Health and Wellness | |||
| Volunteers of America | ||||||||||
| 3910 SE Stark St | Portland | OR | 97214 | 930395591 | 501(c) 3 | 35000 | Community Health Support | |||
| Clackamas County Dept of Health Housing | ||||||||||
| 2051 Kaen Road | Oregon City | OR | 97045 | 930626175 | Government | 31000 | H3S RN Crisis Clinic support | |||
| Foundation for Medical Excellence | ||||||||||
| One SW Columbia St Suite 860 | Portland | OR | 97258 | 930632522 | 501(c) 3 | 27500 | Community Health support | |||
| Columbia Gorge Community College | ||||||||||
| 400 East Scenic Drive | The Dalles | OR | 97058 | 930700843 | 501(c) 3 | 26600 | Nursing occupations program | |||
| Clatsop Community College | ||||||||||
| 1651 Lexington Ave | Astoria | OR | 97103 | 237100856 | 501(c) 3 | 25500 | Support for Clatsop CC Nursing program | |||
| St Joseph the Worker | ||||||||||
| 7528 N Fenwick Ave | Portland | OR | 97217 | 931322114 | 501(c) 3 | 25500 | Corporate Internship Program | |||
| Adelante Mujeres | ||||||||||
| 2420 19th Ave | Forest Grove | OR | 97116 | 030473181 | 501(c) 3 | 25000 | Produce Rx helping pts with diet related disease | |||
| DePaul Industries | ||||||||||
| 4950 NE Marin Luther King Jr Blvd | Portland | OR | 97211 | 930607857 | 501(c) 3 | 25000 | Encourage health lifestyle choices | |||
| La Clinica del Valley | ||||||||||
| 3617 S Pacific Hwy | Medford | OR | 97501 | 943096772 | 501(c) 3 | 25000 | Support for Kids Health Connection | |||
| Self Enhancement Inc | ||||||||||
| 3920 N Kervy Ave | Portland | OR | 97227 | 931086629 | 501(c) 3 | 25000 | Student sponsorship, summer celebration | |||
| Skanner Foundation | ||||||||||
| PO Box 5455 | Portland | OR | 97228 | 931109980 | 501(c) 3 | 16000 | MLK breakfast sponsorship | |||
| Hood River County School District | ||||||||||
| 1011 Eugene Street | Hood River | OR | 97031 | 936000502 | 501(c) 3 | 15782 | Community health support | |||
| Association of Providers for Children | ||||||||||
| PO Box 40186 | Glen Oakes | NY | 11004 | 453801467 | 501(c) 3 | 15000 | Support of assoc for providers of care for children | |||
| Community Action Organization | ||||||||||
| 1001 SW Baseline | Hillsboro | OR | 97123 | 930554941 | 501(c) 3 | 15000 | Support of prenatal care | |||
| Vietnamese Community of Oregon | ||||||||||
| PO Box 55416 | Portland | OR | 97238 | 320263661 | 501(c) 3 | 15000 | Healthcare fair at Tet festival | |||
| Oregon Center for Nursing | ||||||||||
| 5000 N Willamette Blvd MSC 192 | Portland | OR | 97203 | 743052430 | 501(c) 3 | 13500 | Sponsorship for annual fundraising breakfast | |||
| Portland Business Alliance | ||||||||||
| 200 SW Market Suite 150 | Portland | OR | 97201 | 320016048 | 501(c) 6 | 12750 | Membership package | |||
| Oregon Food Bank | ||||||||||
| PO Box 55370 | Portland | OR | 97238 | 930785786 | 501(c) 3 | 11000 | Food drive donations | |||
| Society of St Vincent De Paul | ||||||||||
| PO Box 42157 | Portland | OR | 97242 | 930831082 | 501(c) 3 | 10451 | Community Health Support | |||
| Albertina Kerr Center | ||||||||||
| 424 NE 22nd Avenue | Portland | OR | 97232 | 930386780 | 501(c) 3 | 10100 | Sponsorship, Spotlight on Kerr | |||
| Cindy Givens Children's Memorial Fund #2372 | ||||||||||
| 4465 South Jones Blvd | Las Vegas | NV | 89103 | 466443350 | Other | 10000 | Donation to childrens trust fund | |||
| NAMI Oregon | ||||||||||
| 3550 SE Woodward Street | Portland | OR | 97202 | 930875209 | 501(c) 3 | 10000 | NAMI NW Walk, mental disability programs | |||
| Partners for a Hunger Free Oregon | ||||||||||
| 712 SE Hawthorne Blvd Suite 202 | Portland | OR | 97214 | 204970868 | 501(c) 3 | 10000 | Hunger Task Force-Summer Foods program | |||
| Trillium Family Services | ||||||||||
| 3415 SE Powell Blvd | Portland | OR | 97202 | 931254344 | 501(c) 3 | 10000 | Mental and behavioral support for children | |||
| Lifeworks NW | ||||||||||
| 14600 NW Cornell Rd | Portland | OR | 97229 | 930502822 | 501(c) 3 | 8500 | Leadership gift at annual fundraising event | |||
| James Bickler Gorge Orthodontics | ||||||||||
| 1625 E 12th St | The Dalles | OR | 97058 | 753120828 | Other | 7600 | Donated Dental services | |||
| Free Clinic of SW Washington | ||||||||||
| 4100 Plomondon St | Vancouver | WA | 98661 | 911707542 | 501(c) 3 | 7500 | PCGC 2012 Fall Funding Access to Prim care | |||
| Swindells Center at Prov Hood River Hospital | ||||||||||
| 810 12th Street | Hood River | OR | 97031 | 931265038 | 501(c) 3 | 7500 | Support for grief counseling | |||
| Health Care Coalition of Southern Oregon | ||||||||||
| 4286 Pioneer Rd | Medford | OR | 97501 | 931065133 | 501(c) 3 | 6500 | Community Health support | |||
| Hispanic Metropolitan Chamber | ||||||||||
| 333 SW 5th Ave Suite 100 | Portland | OR | 97204 | 931156358 | 501(c) 3 | 6183 | Scholarships, Employment and Business fair | |||
| Basic Rights Oregon | ||||||||||
| PO Box 40625 | Portland | OR | 97240 | 931266613 | 501(c) 3 | 6000 | Annual dinner and Auction sponsorship | |||
| World Arts Foundation | ||||||||||
| PO Box 12384 | Portland | OR | 97212 | 930830736 | 501(c) 3 | 6000 | Program tribute to "Keep the dream alive" | |||
| Centro Cultural of Washington County | ||||||||||
| PO Box 708 | Cornelius | OR | 97113 | 930606729 | 501(c) 3 | 5100 | Support of Annual Gala Event | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 55 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: In the application for support, we request a detailed explanation of the kind of services provided to the community along with specific financial data. If the application for support is approved, we send a letter indicating the amount of the support along with a request for documentation of how the funds were used, along with a report of the number of children/families served over the year. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (32 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John F Koster MD | ||||||||||||||
| President/CEO PH&S | 0 | 1257618 | 0 | 2794425 | 0 | 17769 | 0 | 353700 | 0 | 29015 | 0 | 4452527 | 0 | 339126 |
| Jeffrey W Rogers | ||||||||||||||
| Corporate Secretary | 0 | 444646 | 0 | 178408 | 0 | 577 | 0 | 300735 | 0 | 19058 | 0 | 943424 | 0 | 48099 |
| Todd Hofheins | ||||||||||||||
| EVP/CFO | 0 | 362360 | 0 | 175788 | 0 | 17577 | 0 | 18701 | 0 | 21725 | 0 | 596151 | 0 | 0 |
| Gregory Van Pelt | ||||||||||||||
| EVP/OR. Region | 0 | 717021 | 0 | 458901 | 0 | 17769 | 0 | 411729 | 0 | 22710 | 0 | 1628130 | 0 | 292233 |
| Shelly M Handkins | ||||||||||||||
| CFO/OR. Region | 0 | 381343 | 0 | 101287 | 0 | 577 | 0 | 281371 | 0 | 22796 | 0 | 787374 | 0 | 0 |
| Michael L Butler | ||||||||||||||
| Group President | 0 | 873495 | 0 | 516168 | 0 | 16368 | 0 | 863387 | 0 | 27457 | 0 | 2296875 | 0 | 435962 |
| Rod Hochman MD | ||||||||||||||
| Group President | 0 | 986310 | 0 | 250000 | 0 | 202400 | 0 | 307076 | 0 | 25101 | 0 | 1770887 | 0 | 0 |
| David T Underriner | ||||||||||||||
| CEO/PSA | 0 | 458799 | 0 | 107024 | 0 | 17577 | 0 | 408838 | 0 | 23022 | 0 | 1015260 | 0 | 0 |
| John V Fletcher | ||||||||||||||
| VP/Operations Support | 0 | 547460 | 0 | 1010144 | 0 | 17769 | 0 | 238549 | 0 | 20704 | 0 | 1834626 | 0 | 388497 |
| Janice J Jones | ||||||||||||||
| SVP/CAO | 0 | 593458 | 0 | 370591 | 0 | 67207 | 0 | 180325 | 0 | 23726 | 0 | 1235307 | 0 | 154703 |
| Myron Berdischewsky MD | ||||||||||||||
| SVP/CMQO | 0 | 496463 | 0 | 1828076 | 0 | 34769 | 0 | 142532 | 0 | 24073 | 0 | 2525913 | 0 | 404844 |
| Cindra R Syverson | ||||||||||||||
| SVP/CHRO | 0 | 396975 | 0 | 164708 | 0 | 577 | 0 | 197231 | 0 | 23437 | 0 | 782928 | 0 | 130173 |
| Terry L Smith | ||||||||||||||
| SVP/Management Svcs. | 0 | 620095 | 0 | 326004 | 0 | 66315 | 0 | 326854 | 0 | 22265 | 0 | 1361533 | 0 | 69195 |
| Craig L Wright MD | ||||||||||||||
| CE/OR. Ambulatory Clin. Svc. | 0 | 482963 | 0 | 290375 | 0 | 577 | 0 | 368118 | 0 | 23940 | 0 | 1165973 | 0 | 199302 |
| Ray Williams | ||||||||||||||
| SVP/Physician Svcs | 0 | 491804 | 0 | 452500 | 0 | 296131 | 0 | 137253 | 0 | 25746 | 0 | 1403434 | 0 | 0 |
| Cindy Strauss | ||||||||||||||
| SVP/Chief Legal Officer | 0 | 376810 | 0 | 180000 | 0 | 65000 | 0 | 173813 | 0 | 32109 | 0 | 827732 | 0 | 0 |
| Phil Jackson | ||||||||||||||
| VP/Physician Svc. & PMG | 0 | 393919 | 0 | 165118 | 0 | 50067 | 0 | 134924 | 0 | 22765 | 0 | 766793 | 0 | 0 |
| John O Mudd | ||||||||||||||
| SVP/Mission Leadership | 0 | 359051 | 0 | 128263 | 0 | 17769 | 0 | 94957 | 0 | 19393 | 0 | 619433 | 0 | 0 |
| Claudia Haglund | ||||||||||||||
| VP/Governance & Spons. | 0 | 338715 | 0 | 144793 | 0 | 17577 | 0 | 202296 | 0 | 17374 | 0 | 720755 | 0 | 0 |
| Joel S Gilbertson | ||||||||||||||
| VP/Gov't & Public Affairs | 0 | 337209 | 0 | 102148 | 0 | 17577 | 0 | 84156 | 0 | 21411 | 0 | 562501 | 0 | 0 |
| Joseph Siemienczuk MD | ||||||||||||||
| CEO/PMG | 0 | 344247 | 0 | 107245 | 0 | 577 | 0 | 123506 | 0 | 19966 | 0 | 595541 | 0 | 0 |
| Janice Burger | ||||||||||||||
| CEO/SVMC | 0 | 301378 | 0 | 67670 | 0 | 17577 | 0 | 214294 | 0 | 20842 | 0 | 621761 | 0 | 0 |
| Orest Holubec | ||||||||||||||
| VP/ Communications | 0 | 279042 | 0 | 119255 | 0 | 12202 | 0 | 33565 | 0 | 19919 | 0 | 463983 | 0 | 0 |
| Debbie Burton | ||||||||||||||
| VP/CNO | 0 | 303518 | 0 | 84357 | 0 | 17577 | 0 | 214734 | 0 | 19093 | 0 | 639279 | 0 | 0 |
| Theron Park | ||||||||||||||
| CEO/PPMC | 0 | 291116 | 0 | 67513 | 0 | 17577 | 0 | 42422 | 0 | 20450 | 0 | 439078 | 0 | 0 |
| Blair D Halperin | ||||||||||||||
| Physician - Cardiology | 591119 | 0 | 56304 | 0 | 17000 | 0 | 11250 | 0 | 22516 | 0 | 698189 | 0 | 0 | 0 |
| Tyler J Gluckman | ||||||||||||||
| Physician - Cardiology | 671566 | 0 | 75000 | 0 | 17000 | 0 | 11250 | 0 | 17880 | 0 | 792696 | 0 | 0 | 0 |
| Daniel S Oseran | ||||||||||||||
| Physician - Cardiology | 553270 | 0 | 93804 | 0 | 17000 | 0 | 10786 | 0 | 21343 | 0 | 696203 | 0 | 0 | 0 |
| Erin J Allen | ||||||||||||||
| PMG Dermatology | 859203 | 0 | 0 | 0 | 17000 | 0 | 17035 | 0 | 26485 | 0 | 919723 | 0 | 0 | 0 |
| Walter J Urba | ||||||||||||||
| Clin.Research Admin. | 636569 | 0 | 147736 | 0 | 0 | 0 | 47018 | 0 | 18198 | 0 | 849521 | 0 | 0 | 0 |
| Eugene Al Parrish | ||||||||||||||
| Former SVP/RCE Alaska Region | 0 | 83787 | 0 | 399842 | 0 | 1890 | 0 | 49393 | 0 | 7812 | 0 | 542724 | 0 | 56382 |
| John Kenagy | ||||||||||||||
| Former VP/CIO | 0 | 75228 | 0 | 518535 | 0 | 264911 | 0 | 8047 | 0 | 6768 | 0 | 873489 | 0 | 115387 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | The reporting organization did not provide any of the benefits listed in Part I, Line 1a. However, as part of Providence's philosophy of transparency, the narrative that follows relates to the compensation and benefits provided by the related organization. Providence Health & Services Expense Reimbursement Procedures include the following policies: First Class Travel or Charter Travel or Travel of Companions Air travel is reimbursable for tourist or economy class and should be at the least expensive airfare; which permits departures and arrivals at reasonable times and reasonable distance traveled. Employees are encouraged to plan in advance to get available discounts. Airline frequent flyer upgrades will never be reimbursed. First class air travel will only be reimbursed when tourist or economy class air travel is not available and business travel is mandated by a supervisor. In the rare circumstance that an executive must fly on a first class full fare ticket, their senior level supervisor must approve this expense. Companion travel will only be reimbursed by the organization for travel related to relocation, and should not exceed two relocation-related visits, unless approval by the SVP/Chief Human Resources Officer. During 2012, a total of one first-class ticket was purchased for disclosed personnel. Tax Indemnifications or Gross-Up Payments Providence Health & Services follows the federal and state taxation laws related to relocation expenses paid to the employee or to a third party on the employee's behalf. They are considered income and are therefore subject to payroll taxes. Based on the way Providence has chosen to pay the relocation expenses, Providence reports reimbursements and payments to vendors as income and these expense payments are reflected on the executive's Form W-2. Providence will gross-up the relocation benefits to offset the personal tax burden to the employee for IRS allowable expenses. During 2012, the following Key Employees received gross-up payments: Arnold R. Schaffer - Relocation Phil Jackson - Relocation Bruce Lamoureux - Gift Card The amounts reported for these gross-up payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. Discretionary Spending Account Providence Health & Services provides an executive flex spending allowance per year (paid bi-weekly). This benefit is provided as discretionary spending because the organization does not reimburse for or provide additional executive benefits, such as a car allowance, additional executive life or disability insurance, or other market-based executive benefits practices. This benefit was discontinued for Calendar Year 2012. Housing Allowance or Residence for Personal Use Providence Health & Services provides housing allowances for purposes of relocation assistance only. Providence may pay temporary living expenses for the employee up to a maximum of 90 calendar days. Covered expenses are rent (excluding "rent" which may be paid in order to occupy a new permanent residence until the title clears) and utilities, including heat, electricity, gas, water, local internet and local telephone and garbage services. The SVP/Chief Human Resources Officer may approve temporary housing assistance for up to six months when family relocation is delayed to accommodate the school year or equivalent circumstances. Only in extenuating circumstances is housing extended beyond this six month period. During 2012, the following Key Employees received relocation/housing program payments: Arnold R. Schaffer Phil Jackson Terry L. Smith Ray Williams The amounts reported for these relocation payments are included on Schedule J, Part II, Column B (iii) - Other Reportable Compensation. | |
| Part I, Lines 4a-b | NONQUALIFIED RETIREMENT PLANS A) SERP = Supplemental Executive Retirement Plan B) CBRP = Cash Balance Restoration Plan C) ESP = Elective Survivor Plan d) NQ = Non-Qualified 409(a) Payout 1) John F. Koster, MD a) Taxable SERP Earned but not Paid- $1,872,867 b) SERP Interest Credit - $327,363 2) Jeffrey W. Rogers a) Taxable SERP Earned but not Paid - $44,273 b) ESP Interest Credit - $87,150 c) SERP Interest Credit - $136,048 3) Michael L. Butler a) SERP Interest Credit - $301,732 b) SERP Earned but not Vested - $527,516 4) Rod Hochman, MD a) NQ - $202,400 b) SERP Earned but not Vested - $284,676 5) Gregory Van Pelt a) Taxable SERP Earned but not Paid - $183,330 b) ESP Interest Credit - $96,202 c) SERP Interest Credit - $240,115 6) Arnold R. Schaffer a) Taxable SERP Earned but not Paid - $819,315 b) SERP Interest Credit - $157,753 7) John V. Fletcher a) Taxable SERP Earned but not Paid - $511,574 b) Taxable CBRP Earned but not Paid - $5,997 c) ESP Interest Credit - $50,355 d) SERP Interest Credit - $122,030 8) Janice J. Jones a) Taxable SERP Earned but not Paid - $147,676 b) Taxable CBRP Earned but not Paid - $264 c) Non-Taxable SERP Earned - $1 d) SERP Interest Credit - $144,057 9) Myron Berdischewsky, MD a) Taxable SERP Earned but not Paid - $1,522,140 b) Non-Taxable SERP Earned - $43,658 c) SERP Interest Credit - $82,406 10) Michael Hunn a) Taxable SERP Earned but not Paid - $222,462 b) SERP Interest Credit - $44,426 11) Cindra R. Syverson a) SERP Interest Credit - $33,544 b) SERP Earned but not Vested - $148,036 12) Terry L. Smith a) Taxable SERP Earned but not Paid - $68,857 b) Taxable CBRP Earned but not Paid - $673 c) ESP Interest Credit - $67,068 d) SERP Interest Credit - $164,038 13) Craig L. Wright, MD a) SERP Interest Credit - $95,974 b) SERP Earned but not Vested - $241,654 14) Bruce Lamoureux a) Taxable SERP Earned but not Paid - $895,277 b) Taxable CBRP Earned but not Paid - $970 c) Non-Taxable SERP Earned - $1 d) SERP Interest Credit - $47,391 15) Ray Williams a) SERP Earned but not Vested - $119,753 16) Kevin Brown a) NQ - $60,000 b) SERP Earned but not Vested - $114,573 17) Jack Friedman a) Taxable SERP Earned but not Paid - $47,618 b) SERP Interest Credit - $144,595 18) Cindy Strauss a) NQ - $48,000 b) SERP Earned but not Vested - $161,294 19) Phil Jackson a) SERP Interest Credit - $9,748 b) SERP Earned but not Vested - $85,986 20) David T. Brooks a) SERP Interest Credit - $44,009 b) SERP Earned but not Vested - $161,703 21) Medrice Coluccio a) SERP Interest Credit - $55,860 b) SERP Earned but not Vested - $341,617 22) Eugene "Al" Parrish a) Taxable SERP Earned but not Paid - $293,361 b) Non-Taxable SERP Earned - $39,762 23) John Kenagy a) Taxable SERP Earned but not Paid - $417,225 24) Shelly M. Handkins a) DCSERP Interest Credit - $35,757 b) SERP Earned but not Vested - $207,834 25) Janice Burger a) SERP Interest Credit - $163,669 b) ESP Interest Credit - $32,997 26) Joseph Siemienczuk a) SERP Earned but not Vested - $72,374 b) Taxable CBRP Earned but not Paid - $3,337 27) David T. Underriner a) SERP Interest Credit - $251,400 b) SERP Earned but not Vested - $98,115 c) ESP Interest Credit - $34,529 28) Theron Park a) SERP Interest Credit - $2,600 b) SERP Earned but not Vested - $24,563 | |
| Part I, Lines 4a-b | SEVERANCE 1) John Kenagy - $188,084 | |
| Part III | FORM 990, SCHEDULE J, PART II - EXECUTIVE PERFORMANCE AWARDS PROGRAM The Providence Executive Performance Awards Program provides a lump sum award annually as a percent of the executive's base pay. Percent opportunities are aligned with our total compensation philosophy as outlined in Part VI, Section B, Line 15 (Process for determining compensation of top management, officers & key employees). The performance award is based on the level of accomplishment of annual system objectives and personal objectives. In 2012, 50 percent of the participant awards were based on pre-determined organizational goals consistent with Providence's five strategic priorities of: mission driven, financially responsible, people centered, service oriented and quality focused. In 2012 the percent allocation for each of these strategic priorities was: Mission driven 10% Financially responsible 10% People centered 10% Service oriented 10% Quality focused 10%. To ensure affordability of the program, the organization (system, region or entity) must meet a threshold of 50 percent of budgeted net operating income. | Supplemental Information |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| Hospital Facility Authority of Clackamas County | ||||||||
| A | 930847114 | 179027TU1 | 2003-05-16 | 213475000 | Refund Series 1987 & 1992 Bonds & Capital Construction | 0 | 0 | 0 |
| Hospital Facility Authority of Multnomah County | ||||||||
| B | 931266280 | 62551PAV9 | 2004-07-21 | 104904239 | Construction of Patient Tower & Parking Structure at PPMC & Child Center | 0 | 0 | 0 |
| State of Oregon Oregon Facilities Authority Revenue Bonds | ||||||||
| C | 936001787 | 68608JPT2 | 2011-11-17 | 24927615 | Refund Series 1999 & Adv. Refund Series 2002 & Refunding Series 2005 (WFH) | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Refunding EscrowRefundingEscrow | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 13275000 | 213475000 | 5792 | 2047481 | 198119726 | 13307793 | 2003 | 1 | 0 | 1 | 1 | ||
| B | 15645000 | 104904239 | 83 | 1094787 | 103809452 | 2007 | 0 | 0 | 1 | 1 | |||
| C | 24927615 | 16 | 345182 | 4880990 | 2006 | 1 | 1 | 1 | 1 | 11973368 | 11973368 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0.00000 | 0.00000 | 0.00000 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NA | |||||||||||||
| A | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | NA | 0 | 0 | 1 |
| NA | |||||||||||||
| B | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | 1 |
| NA | |||||||||||||
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | NA | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Schedule K Part IV, Arbitrage, Line 2c | Date Rebate Computation Performed | Issuer Name: Hospital Facility Authority of Clackamas County Date the Rebate Computation was Performed: 06/30/2008 Issuer Name: Hospital Facility Authority of Multnomah County Date the Rebate Computation was Performed: 09/10/2009 |
| SCHEDULE K, PART III, LINES 2-5 | FOR HOSPITAL FACILITY OF CLACKAMAS COUNTY, OREGON REVENUE BONDS, SERIES 2003D, SERIES 2003E, SERIES 2003F AND SERIES 2003G (PROVIDENCE HEALTH SYSTEM) The organization allocated proceeds to expenditures according to the accounting method set forth in the Tax Agreement relating to the issue. Under that accounting method, established on the issue date of the issue, any allocations of proceeds to expenditures were for costs reasonably expected, at the time of the allocation, not to be used for a "private business use", not to be used in an "unrelated trade or business" and not to be owned by persons other than the organization. Expenditures made in a manner inconsistent with that accounting method and intention were instead allocated to the next expenditures consistent with that intention that were eligible to be financed with bond proceeds, and which were for property with a remaining economic life at least as long as the remaining economic life of the property identified in the mistaken allocation. | |
| SCHEDULE K, PART III, LINE 8(a-d) | FOR HOSPITAL FACILITY OF CLACKAMAS COUNTY, OREGON REVENUE BONDS, SERIES 2003D, SERIES 2003E, SERIES 2003F AND SERIES 2003G (PROVIDENCE HEALTH SYSTEM) The organization is seeking a voluntary closing agreement from the Service with respect to the entry. |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 29 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 3353 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | Auction Items | Description |
| Number Of Contributions | 489 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 93623 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Method for Determining Number of Contributors: | Part I, Column (b): | The amounts shown on Part I, Col. B reflect the number of donations received of the specific type of item. |
| Third Party Use: | Part I, Line 32b: | An auctioneer was hired to sell donated items at the 2012 Monessori School auction conducted Nov 3, 2012. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The sole Member of the Corporation is Providence Health & Services. | |
| Form 990, Part VI, Section A, line 7a | The powers of the Corporate Member include the provision to appoint the number of Directors, appoint the Board of Directors and to remove such Directors at any time with or without cause. | |
| Form 990, Part VI, Section A, line 7b | The following powers reside with the Corporate Member: 1) To adopt or change the mission, philosophy, and values, including the strategic plan and mission statement. 2) To amend or repeal the Articles of Incorporation or Bylaws. 3) To approve the acquisition of assets, the incurrence of indebtedness or the lease, sale transfer, assignment or encumbering of assets exceeding a specified threshold, or the sale or transfer of any property which may have historical or religious significance. 4) To approve the dissolution or liquidation. 5) To approve the annual operating and capital budgets. 6) To appoint the certified public accountants. 7) To approve the closure of any institution or major ministry or work of the Corporation. | |
| Form 990, Part VI, Section B, line 11 | The Form 990 is prepared internally by experienced staff and reviewed by the internal Director of Taxes and external tax advisors. The Board of Directors reviewed the Form 990 prior to filing with the IRS. | |
| Form 990, Part VI, Section B, line 12c | Providence Health & Services maintains a conflict of interest policy that applies to board members and management of all Providence-related organizations. The purpose of the policy is to guide and direct those serving the Providence Health & Services' corporations and other legal entities so they can (1) fulfill their fiduciary responsibilities and exercise stewardship in ways that promote and protect the best interests of Providence and, (2) avoid situations that create a conflict, or the appearance of a conflict, between the interests of an individual associated with Providence and Providence. On an annual basis, each board member and management level employee must complete and submit an updated conflict of interest statement. Conflict of interest disclosures are reviewed by the System Integrity Department working in conjunction with the Department of Legal Affairs. If it is determined that an actual conflict exists, appropriate follow-up action is taken with the individual to rectify the conflict. | |
| Form 990, Part VI, Section B, line 15 | It is Providence's intention to make financial information accessible and transparent. Although the filing of Form 990 provides insight into how Providence achieves its Mission, delivers its programs and stewards its finances, deciphering the information directly from Form 990 can be challenging. The following paragraphs provide further information about the process we use to determine compensation for top management, officers and key employees. Providence has a single fiduciary Board, with responsibility for financial oversight associated with fulfillment of the Providence Mission, developing system policies, protecting the assets entrusted to the organization and overseeing the strategic and operational affairs of Providence's legal entities. Providence also maintains a network of community ministry boards with responsibility for quality of care oversight, community relations, advocacy and community needs assessments. Providence has a consistent compensation philosophy for all of its employees, including our senior executives. Salaries for senior executives are determined by the Providence Board's Human Resources Committee and approved by the full Board of Directors, none of whom is a Providence employee. The Board retains an independent consultant each year to review salaries of those in the most significant leadership roles in the organization. Part of the consultant's role is to review an extensive array of compensation surveys of large, not-for-profit health care systems in the United States. Providence is one of the larger health systems in the country, and as such, the Board benchmarks executive compensation against other large, not-for-profit health systems whose revenue is similar to that of Providence. Base salaries for Providence executives are set at the median level of the market, as identified by the independent consultant and reviewed with the Human Resources Committee. Each year, the Board Chair conducts a formal performance evaluation of the President/CEO that considers input from the other directors and senior leaders reporting to the President. The evaluation is discussed with the Human Resources Committee and then a recommendation is made by the committee to the full Board. The Board Chair and the Chair of the Human Resources Committee also meet with an independent consultant to develop a salary recommendation; which is reviewed and approved first by the committee and then by the Board of Directors. Additionally, the President/CEO utilizes the market information provided by the consultant along with formal performance evaluations, to determine salary recommendations for other senior executives. This process includes a rigorous analysis of those recommendations with the Human Resources Committee as a part of the review and approval process. Performance incentives allow executives to earn additional compensation if they achieve specific organizational and individual goals for furthering Providence operating principles - advancing the Providence Mission and core values, meeting benchmarks for charity care, achieving quality targets, delivering top-rated customer satisfaction, meeting employee satisfaction goals and reaching financial performance objectives. The Board of Directors conducts a thorough process to ensure performance incentives are aligned with appropriate practices for not-for-profit health care systems. The Board's process for executive compensation fully complies with IRS standards and mirrors the best practices recommended in the "Report to Congress and the Nonprofit Sector on Governance, Transparency, and Accountability" submitted to the Senate Finance Committee by the Panel on the Nonprofit Sector. | |
| Form 990, Part VI, Section C, line 19 | Public disclosure of governing documents, conflict of interest policy and 990 filings are made available to the public upon written request. The consolidated Health System financial statements are available on our public Internet site www.providence.org. All governing policies including the conflict of interest policy, as well as 990 filings are available to employees on the Intranet site. | |
| Form 990, Part VII | Gregory Van Pelt - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Shelly M. Handkins - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. David T. Underriner - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Joseph Siemienczuk MD - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. Janice Burger - 4400 NE Halsey, Bldg. 2, #599, Portland, OR 97213. | Contact Addresses for Officers, Directors, Etc |
| Form 990, Part IX, line 11g | Adult Health Services: Program service expenses 17,687,025. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,687,025. Agency Services: Program service expenses 16,363,378. Management and general expenses 1,354,509. Fundraising expenses 0. Total expenses 17,717,887. Ambulance Services: Program service expenses 829,709. Management and general expenses 0. Fundraising expenses 0. Total expenses 829,709. Billing Services: Program service expenses 0. Management and general expenses 1,816,384. Fundraising expenses 0. Total expenses 1,816,384. Consultant Services: Program service expenses 3,667,530. Management and general expenses 5,188,620. Fundraising expenses 0. Total expenses 8,856,150. Emergency Room: Program service expenses 615,113. Management and general expenses 0. Fundraising expenses 0. Total expenses 615,113. Hospital Room and Board: Program service expenses 4,119,427. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,119,427. Imaging Services: Program service expenses 248,142. Management and general expenses 0. Fundraising expenses 0. Total expenses 248,142. Janitorial Services: Program service expenses 4,008,976. Management and general expenses 1,344,445. Fundraising expenses 0. Total expenses 5,353,421. Lab Services: Program service expenses 5,765,990. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,765,990. Laundry Services: Program service expenses 7,549,782. Management and general expenses 91,833. Fundraising expenses 0. Total expenses 7,641,615. Medical Director Fees: Program service expenses 8,159,945. Management and general expenses 0. Fundraising expenses 0. Total expenses 8,159,945. Medical Transcription: Program service expenses 631,031. Management and general expenses 0. Fundraising expenses 0. Total expenses 631,031. Moving Services: Program service expenses 0. Management and general expenses 684,156. Fundraising expenses 0. Total expenses 684,156. Nursing Home Fees: Program service expenses 2,694,222. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,694,222. Other Medical Purchased Services: Program service expenses 16,535,081. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,535,081. Other Non-Medical Purchased Services: Program service expenses 30,760,735. Management and general expenses 91,748,863. Fundraising expenses 0. Total expenses 122,509,598. Personal Care: Program service expenses 212,994. Management and general expenses 0. Fundraising expenses 0. Total expenses 212,994. Physician Fees: Program service expenses 59,504,483. Management and general expenses 0. Fundraising expenses 0. Total expenses 59,504,483. Records Management: Program service expenses 2,915,253. Management and general expenses 57,985. Fundraising expenses 0. Total expenses 2,973,238. Records & Maintenance: Program service expenses 29,623,611. Management and general expenses 8,161,385. Fundraising expenses 0. Total expenses 37,784,996. Security: Program service expenses 0. Management and general expenses 1,920,820. Fundraising expenses 0. Total expenses 1,920,820. Translation Services: Program service expenses 801,802. Management and general expenses 27,683. Fundraising expenses 0. Total expenses 829,485. | Other Fees |
| Form 990, Part XI, line 9: | Recipient Organization Adjustments 2,665,147. Capital Asset Equity Transfers -161,745,557. Income on Medical Staff Funds -10,999. Minority Interest Reclassification -251,997. Change in PWFMC Pension Liability -2,386,361. | Changes in Net Assets or Fund Balances: |
| FORM 990, PART I, LINE 6 | Volunteers contribute to the quality of care for which Providence is noted and exemplify the Providence Mission. Volunteers enhance the patient experience, providing assistance with activities, special projects, greeting, staffing the gift shops, delivery of flowers to patient rooms, running errands, offering clerical support and anything else that is asked of them. Our organization is truly blessed with a wonderful group of volunteers that help each and every day. Volunteer services include but are not limited to the following: * Greeting visitors and patients * Assist patients being admitted/check-in and scheduling * Bond with medically fragile children to add quality of life and joy * Chaplains-providing support for our patients and their families * Clerical support * Deliver flowers to rooms * Deliver incoming and outgoing mail * Give hospital tours * Participate in fundraising and community events * Patient escort * Provide hand crafted items such as hats, booties and blankets for newborns * Provide toy bags for children * Provide information and support for patients/families/visitors * Run errands as needed * Staffing the Gift Shops * Work on special projects for various departments as needed * Assist and support Blood Drives * Help with Blood Pressure clinic * Pet Therapy * Assist nursing and assisted living residents to and from daily activities such as Bingo, Chapel, Game times, Music Programs, Outings, etc. * Provide other support asked of them | VOLUNTEERS |
| FORM 990, PART VII | As members of the Religious Community, each Sister has taken a vow of poverty as a compulsory part of her religious life. Any compensation for services of a Sister inures only for the benefit of the Community, not the individual members. All payments for services are made directly to the Religious Community. | RELIGIOUS COMMUNITY MEMBERS |
| Form 990, Part XII, Line 2c | The Providence Health & Services Audit and Compliance Committee assists the Board of Directors with the oversight of the integrity of the financial statements and reporting, the audit process and the internal financial controls and policies; compliance with ethical, legal and regulatory standards and requirements; the independence, qualifications and performance of the internal and external auditors; the investment committee; and informs the Board of Directors of critical risk areas and recommended mitigation. | AUDIT & COMPLIANCE |
| SCHEDULE R - RELATED ORGANIZATIONS | On February 1, 2012, Providence Health & Services (the Health System) and Swedish Health Services (Swedish) effected an affiliation Agreement, which integrated the operations of the two health systems. The Health System and Swedish have affiliated to create a fully integrated, nonprofit, charitable health care system serving the communities throughout Western Washington. No cash or other purchase consideration was transferred to effect the affiliation. Effective July 1, 2012, Providence Health System - Southern California entered into an affiliation agreement with Facey Medical Foundation and Facey Medical Group. The Facey Medical Foundation is a nonprofit medical foundation, which operates ten clinics in the North San Fernando, Santa Clarita, San Gabriel and Simi Valleys. These sites are staffed by the Facey Medical Group physicians pursuant to a professional services agreement. No cash or other purchase consideration was transferred to effect the affiliation. | AFFILIATION AGREEMENTS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|
| Providence Fairview Properties LLC | ||||||||
| 1235 NE 47th Avenue Suite 260 | Portland | OR | 97213 | 510216587 | Own & Manage Land for future development | OR | 1646195 | Providence Health & Services - Oregon |
| Providence Padden Properties LLC | ||||||||
| 1235 NE 47th Avenue Suite 260 | Portland | OR | 97213 | 510216587 | Own & Manage Land for future development | OR | 19305321 | Providence Health & Services - Oregon |
Form990 Schedule R Part II Form990ScheduleRPartII (62 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Health & Services - Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216586 | Healthcare System | WA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Providence Health System - So California | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 510216589 | Healthcare System | CA | 501( c)(3) | Line 3 | Providence Health & Services | 0 | |
| Everett Transitional Care Services | |||||||||||
| PO Box 5128 | Everett | WA | 982065128 | 943264605 | Transitional Care | WA | 501( c)(3) | Line 9 | 0 | N/A | |
| Providence Oregon Management Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 930813977 | Shell Corporation | OR | 501( c)(3) | Line 1 | PH & S - Oregon | 0 | |
| Providence Plan Partners | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 911861964 | Healthcare Services | OR | 501( c)(4) | N/A | PH & S - Oregon | 1 | |
| Providence Health Plan | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 930863097 | Health Service Contractor | OR | 501( c)(4) | N/A | Providence Plan Partners | 0 | |
| Providence Health Assurance | |||||||||||
| 4400 NE Halsey Bldg 2 | Portland | OR | 97213 | 550828701 | Medicaid Healthcare Provider | OR | 501( c)(4) | N/A | Providence Health Plan | 0 | |
| Providence Medical Institute | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330283773 | Healthcare | CA | 501( c)(3) | Line 11/Type I | PHS - So California | 0 | |
| Little Company of Mary Ancillary Services Corporation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330844408 | Imaging Services | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence TrinityCare Hospice | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 953264139 | Hospice | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Providence Blanchet Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 911789266 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Luke Association | |||||||||||
| 350 Washington Ave SE | Chehalis | WA | 98352 | 943176618 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Rossi Association | |||||||||||
| 1700 Providence Pl | Centralia | WA | 98531 | 311584166 | Housing | WA | 501( c)(3) | Line 9 | PH & S - Washington | 0 | |
| Lundberg Association | |||||||||||
| 5921 E Burnside | Portland | OR | 97215 | 911562797 | Housing | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence St Francis Association | |||||||||||
| 3415 12th Avenue NE | Olympia | WA | 98506 | 943244854 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Peter Claver Association | |||||||||||
| 7101 38th Avenue South | Seattle | WA | 98118 | 311629656 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Elizabeth House Association | |||||||||||
| 3201 SW Graham St | Seattle | WA | 98126 | 912171539 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Gamelin House Association | |||||||||||
| 4515 MLK Jr Way S Ste 200 | Seattle | WA | 98108 | 311744654 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Association | |||||||||||
| 312 North Fourth St | Yakima | WA | 98901 | 911180824 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| The Gamelin Oregon Association | |||||||||||
| 5520 NE Glisan | Portland | OR | 97213 | 911214491 | Housing | OR | 501( c)(3) | Line 9 | PH & S - Oregon | 1 | |
| The Gamelin California Association | |||||||||||
| 540 23rd St | Oakland | CA | 94612 | 911293869 | Housing | CA | 501( c)(3) | Line 9 | PHS - So California | 0 | |
| Gamelin Washington Association | |||||||||||
| 1423 First Avenue | Seattle | WA | 98101 | 201910170 | Housing | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Foundation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 943078543 | Support PH&S Institutions | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Alaska Foundation | |||||||||||
| 3300 Providence Drive - B Tower2 | Anchorage | AK | 99508 | 920093565 | Support PHS-Alaska | AK | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence St Peter Foundation | |||||||||||
| 413 Lilly Road NE | Olympia | WA | 985065166 | 911097056 | Support Affiliated Tax-Exempt Organization | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Health Care Foundation (Centralia) | |||||||||||
| 914 S Scheuber Road | Centralia | WA | 98531 | 911433382 | Support Providence Centralia Hospital | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Mount St Vincent Foundation | |||||||||||
| 4831 - 35th Avenue SW | Seattle | WA | 981262799 | 911188119 | Support Providence Mount St.Vincent | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| Providence Marianwood Foundation | |||||||||||
| 3725 Providence Point Drive SE | Issaquah | WA | 980297219 | 931554288 | Support Providence Marianwood | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Newberg Health Foundation | |||||||||||
| 1001 Providence Drive | Newberg | OR | 97132 | 930889144 | Support Providence Newberg Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Seaside Hospital Foundation | |||||||||||
| 725 S Wahanna Rd | Seaside | OR | 97138 | 930927320 | Support Providence Seaside Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Community Health Foundation | |||||||||||
| 1111 Crater Lake Ave | Medford | OR | 97504 | 930692907 | Support Providence Medford Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Benedictine Nursing Center Foundation | |||||||||||
| 540 South Main St | Mt Angel | OR | 973629532 | 911940286 | Support Providence Benedictine Nursing Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Portland Medical Foundation | |||||||||||
| 4805 NE Glisan St | Portland | OR | 972132967 | 931231494 | Support Providence Portland Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence St Vincent Medical Foundation | |||||||||||
| 9205 SW Barnes Rd | Portland | OR | 97225 | 930575982 | Support Providence St. Vincent Medical Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Milwaukie Foundation | |||||||||||
| 10150 SE 32nd | Milwaukie | OR | 97222 | 943079515 | Support Providence Milwaukie Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Child Center Foundation | |||||||||||
| 830 NE 47th | Portland | OR | 97213 | 930800140 | Support Providence Child Center | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence TrinityCare Hospice Foundation | |||||||||||
| 5315 Torrance Blvd Suite B1 | Torrance | CA | 90503 | 330261016 | Support TrinityCare Hospice | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Little Company of Mary Foundation | |||||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 510224944 | Support Little Company of Mary Service Area | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| PH&S FoundationSFVSA & SCVSA | |||||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544877 | Support Program & Activities of SFVSA & SCVSA | CA | 501( c)(3) | Line 7 | PHS - So California | 0 | |
| Providence Hospice of Seattle Foundation | |||||||||||
| 425 Pontius Avenue North 300 | Seattle | WA | 981095452 | 912077378 | Support Hospice of Seattle | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Health & Services - Western Washington | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911303277 | Healthcare | WA | 501( c)(3) | Line 3 | Providence MinistriesWHC | 0 | |
| Providence Health & Services | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911549796 | Shell Corporation | WA | 501( c)(3) | Line 11/Type I | 0 | N/A | |
| Providence Health & Services - Montana | |||||||||||
| 500 W Broadway PO Box 4587 | Missoula | MT | 598064587 | 810231793 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| Providence St Joseph Medical Center | |||||||||||
| PO Box 1010 | Polson | MT | 598601010 | 810463482 | Healthcare | MT | 501( c)(3) | Line 3 | PH & S - Washington | 0 | |
| St Thomas Child and Family Center | |||||||||||
| 1710 Benefis Court | Great Falls | MT | 59405 | 810233495 | Early Childhood Education | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Sisters of Providence of Montana Corporation | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 262612415 | Shell Corporation | MT | 501( c)(3) | Line 1 | PH & S - Washington | 0 | |
| Providence Health Care Foundation - Eastern Washington | |||||||||||
| 101 W 8th Ave | Spokane | WA | 99204 | 320014330 | Support PH&S-WA. Ministries in E. WA. | WA | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| St Patrick Hospital Foundation | |||||||||||
| 500 West Broadway PO Box 4587 | Missoula | MT | 598064587 | 237056976 | Support Healthcare in W. Montana | MT | 501( c)(3) | Line 7 | PH & S - Washington | 0 | |
| University of Great Falls | |||||||||||
| 1301 20th Street South | Great Falls | MT | 59405 | 810231777 | Post Secondary Education | MT | 501( c)(3) | Line 2 | PH & S - Washington | 0 | |
| E WA & MT Unemployment Compensation Insurance Trust | |||||||||||
| 1801 Lind Avenue SW 9016 | Renton | WA | 980579016 | 911082119 | Unemployment Benefits | WA | 501( c)(3) | Line 11/Type I | PH & S - Washington | 0 | |
| Providence Willamette Falls Medical Foundation | |||||||||||
| 1500 Division Street | Oregon City | OR | 97045 | 931003750 | Support Willamette Falls Hospital | OR | 501( c)(3) | Line 11/Type I | PH & S - Oregon | 1 | |
| Providence Hood River Memorial Hospital Foundation Inc | |||||||||||
| 811 13th St | Hood River | OR | 97031 | 930921990 | Support Providence Hood River Memorial Hospital | OR | 501( c)(3) | Line 7 | PH & S - Oregon | 1 | |
| Providence Hospice and Home Care Foundation | |||||||||||
| 2731 Wetmore Avenue Suite 500 | Everett | WA | 98201 | 272552749 | Support Program & Ministries of PHHC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Providence St Mary Foundation | |||||||||||
| 401 W Poplar St | Walla Walla | WA | 99362 | 452841492 | Support Program & Ministries of SMMC | WA | 501(c )(3) | Line 7 | PH & S - Washington | 0 | |
| Facey Medical Foundation | |||||||||||
| 15451 San Fernando Mission Blvd 200 | Mission Hills | CA | 913451420 | 954322584 | Support Facey Medical Group | CA | 501(c )(3) | Line 7 | PHS - So California | 0 | |
| Swedish Health Services | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910433740 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Edmonds | |||||||||||
| 21601 76th Ave W | Edmonds | WA | 98026 | 272305304 | Healthcare | WA | 501(c )(3) | Line 3 | Western HealthConnect | 0 | |
| Swedish Medical Center Foundation | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 910983214 | Support Swedish Health Services | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Global To Local Health Initiative | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273133200 | Healthcare | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Swedish MJM Holdings | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 273139262 | Holding Company | WA | 501(c )(3) | Line 11/Type I | Swedish Health Services | 0 | |
| Marsha Rivkin Center for Ovarian Cancer Research | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 912054035 | Ovarian Cancer Research | WA | 501(c )(3) | Line 7 | Swedish Health Services | 0 | |
| Western HealthConnect | |||||||||||
| 747 Broadway | Seattle | WA | 98122 | 454171900 | Shell Corporation | WA | 501(c )(3) | Line 11/Type I | Providence Ministries | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (28 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Providence Imaging Center | |||||||||||||
| 3340 Providence Drive | Anchorage | AK | 99508 | 920118807 | Medical Imaging | AK | PH&S - WA | Related | 0 | 0 | |||
| Pathology Associates Medical Laboratories LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 270943279 | Outpatient Lab | WA | Bourget Health Services Inc | Related | 0 | 0 | |||
| California Laboratory Associates LLC | |||||||||||||
| 501 Buena Vista | Burbank | CA | 91505 | 273888692 | Outpatient Lab | CA | PHS - So California | Related | 0 | 0 | |||
| Surgery Ctr at Tanasbourne LLC | |||||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 208187971 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 | 516133 | 3054056 | 0.83400 |
| Distribution Operations Center LLC | |||||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 271054858 | Supplies Purchasing Agent | WA | PH&S - WA | Related | 0 | 0 | |||
| Broadway Imaging LLC | |||||||||||||
| 500 W Broadway | Missoula | MT | 59802 | 522405971 | Medical Imaging | MT | PH&S - MT | Related | 0 | 0 | |||
| Ctr for Med Imaging-Bridgeport LLC | |||||||||||||
| 1235 NE 47th Ave | Portland | OR | 97213 | 260796953 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | 50229 | 1286997 | 0.75000 |
| Ctr for MedImaging-Tanasbourne LLC | |||||||||||||
| 1235 NE 47th Ave | Portland | OR | 97213 | 200477972 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | 731818 | 1481345 | 0.75000 |
| Portland Medical Imaging LLC | |||||||||||||
| 10538 SE Washington St | Portland | OR | 97216 | 201054971 | Imaging - Diagnostics | OR | PH&S - OR | Related | 0 | 0 | 195072 | 1744373 | 0.75000 |
| Oregon Advanced Imaging LLC | |||||||||||||
| 881 OHare Parkway | Medford | OR | 97504 | 450471748 | Medical Imaging | OR | PH&S - OR | Related | 0 | 0 | 1778157 | 5524988 | 0.70000 |
| Minor & James Medical PLLC | |||||||||||||
| 515 Minor Avenue 200 | Seattle | WA | 98104 | 911340223 | Physician Clinic | WA | Swedish MJM Holdings Inc | N/A | 0 | 0 | |||
| Clackamas Radiation Oncology Center LLC | |||||||||||||
| 1235 NE 47th Ave 288 | Portland | OR | 97213 | 260381897 | Radiation Oncology | OR | PH&S - OR | Related | 0 | 0 | 661069 | 1745521 | 0.67000 |
| PETCT Imaging at Swedish Cancer Institute LLC | |||||||||||||
| 1221 Madison Street | Seattle | WA | 98104 | 203132044 | Medical Imaging | WA | Swedish Health Services | Related | 0 | 0 | |||
| Mountainstar Clinical Laboratories LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 261345983 | Outpatient Lab | MT | PAML LLC | Related | 0 | 0 | |||
| PacLab LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911743952 | Outpatient Lab | WA | PH&S - WA | Related | 0 | 0 | |||
| Center for Specialty Surgery LLC | |||||||||||||
| 11782 SW Barnes Rd | Portland | OR | 97225 | 263638838 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 | 787885 | 2804564 | 0.51000 |
| Oregon Outpatient Surgery Center | |||||||||||||
| 7300 SW Childs Rd | Tigard | OR | 97224 | 223883387 | Ambulatory Surgery Center | OR | PH&S - OR | Related | 0 | 0 | 873847 | 1314867 | 0.51000 |
| ProvidenceUSP Santa Clarita GP LLC | |||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 202829660 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 | |||
| ProvidenceUSP Surgery Ctrs LLC | |||||||||||||
| 11550 Indian Hills Road 160 | Mission Hills | CA | 91345 | 200905938 | Ambulatory Surgery Center | CA | PHS - So California | Related | 0 | 0 | |||
| Alpha Medical Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 912017347 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| Canby Medical Center I LLC | |||||||||||||
| 2747 Pence Loop SE | Salem | OR | 97302 | 205470937 | Real Estate - MOB | OR | PH&S - OR | Related | 0 | 0 | 10849 | 2819114 | 0.50000 |
| Greater Valley Medical Building LP | |||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 954570858 | Real Estate - MOB | CA | PHS - So California | Investment | 0 | 0 | |||
| Medalia Healthcare LLC | |||||||||||||
| 1801 Lind Ave SW 9016 | Renton | WA | 98057 | 911660459 | Physician Benefits | WA | PH&S - WA | Investment | 0 | 0 | |||
| Prov Radiation Oncology Develop Assn LLC | |||||||||||||
| 1235 NE 47th Ave | Portland | OR | 97213 | 260682491 | Real Estate - MOB | OR | PH&S - OR | Investment | 0 | 0 | -134248 | 3695650 | 0.50000 |
| ProvidenceSilverton Rehab LLC | |||||||||||||
| 1235 NE 47th Ave 260 | Portland | OR | 97213 | 481287267 | Rehab Services | OR | PH&S - OR | Related | 0 | 0 | -59507 | 72169 | 0.50000 |
| Southern Idaho Regional Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 820511819 | Outpatient Lab | ID | PAML LLC | Related | 0 | 0 | |||
| Tri-Cities Laboratory LLC | |||||||||||||
| 611 N Perry | Spokane | WA | 99202 | 911773986 | Outpatient Lab | WA | PAML LLC | Related | 0 | 0 | |||
| Providence Partners for Health LLC | |||||||||||||
| 501 S Buena Vista St | Burbank | CA | 91505 | 454041798 | Clinical Quality & Intergration | CA | PHS - So California | Related | 0 | 0 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| Providence Health Ventures Inc | |||||||||
| 4101 Torrance Blvd | Torrance | CA | 90503 | 330122216 | Investment | CA | N/A | C | 0 |
| Caron Health Corporation | |||||||||
| 510 W Front St | Missoula | MT | 59802 | 810486082 | Medical Physician Service | MT | N/A | C | 0 |
| Providence Health Care Ventures Inc | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 900155714 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Providence Physician Services Co | |||||||||
| 101 W 8th Ave TAF C-9 | Spokane | WA | 99204 | 911216033 | Clinical/Medical Lab | WA | N/A | C | 0 |
| Yakima Medical Arts Inc | |||||||||
| 611 N Perry 100 | Spokane | WA | 99202 | 910787963 | Rental Real Estate | WA | N/A | C | 0 |
| Bourget Health Services Inc | |||||||||
| PO Box 2687 | Spokane | WA | 99220 | 911354431 | Clinical/Medical Lab | WA | N/A | C | 0 |
| 1221 Madison Street Owners Assoc | |||||||||
| 747 Broadway | Seattle | WA | 98122 | 201954319 | Owners' Association | WA | N/A | C | 0 |
| Washington Cancer Centers PC | |||||||||
| 1560 N 115th G-16 | Seattle | WA | 98133 | 911792791 | Cancer Treatment | WA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (30 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Providence Benedictine Nursing Center Foundation | ||
| C | 177841 | Cost |
| Providence Benedictine Nursing Center Foundation | ||
| B | 151551 | Cost |
| Providence Benedictine Nursing Center Foundation | ||
| Q | 149000 | Cost |
| Providence Child Center Foundation | ||
| C | 1604137 | Cost |
| Providence Child Center Foundation | ||
| B | 415911 | Cost |
| Providence Child Center Foundation | ||
| Q | 417468 | Cost |
| Providence Community Health Foundation | ||
| C | 565168 | Cost |
| Providence Community Health Foundation | ||
| B | 332530 | Cost |
| Providence Hood River Memorial Hospital Foundation | ||
| C | 36505 | Cost |
| Providence Hood River Memorial Hospital Foundation | ||
| B | 150456 | Cost |
| Providence Milwaukie Foundation | ||
| C | 99600 | Cost |
| Providence Milwaukie Foundation | ||
| B | 222679 | Cost |
| Providence Newberg Foundation | ||
| C | 247946 | Cost |
| Providence Newberg Foundation | ||
| B | 250316 | Cost |
| Providence Portland Medical Foundation | ||
| C | 6199958 | Cost |
| Providence Portland Medical Foundation | ||
| B | 575997 | Cost |
| Providence Seaside Foundation | ||
| C | 230346 | Cost |
| Providence Seaside Foundation | ||
| B | 110961 | Cost |
| Providence St Vincent Medical Foundation | ||
| C | 7093203 | Cost |
| Providence St Vincent Medical Foundation | ||
| B | 696129 | Cost |
| Providence Willamette Falls Foundation | ||
| C | 59890 | Cost |
| Providence Willamette Falls Foundation | ||
| B | 123081 | Cost |
| Providence Plan Partners | ||
| O | 63404491 | Cost |
| Providence Plan Partners | ||
| Q | 17341621 | Cost |
| Providence Plan Partners | ||
| J | 5255388 | Cost |
| Providence Health Plan | ||
| Q | 859496 | Cost |
| Providence Health Assurance | ||
| Q | 190197 | Cost |
| Oregon Outpatient Surgery Center | ||
| A | 680858 | Cost |
| Central Point MRI LLC | ||
| A | 354900 | Cost |
| Center for Medical Imaging LLC | ||
| B | 87525 | Cost |
Comments